Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly unchanged . Thyroid goiter again visualized . No pulmonary edema . No airspace consolidation . Mild left lower lobe atelectasis . No pleural effusions . Marked spondylotic change of the thoracic spine as well as degenerative changes of the the glenohumeral joint bilateral .
    OUTPUT:
    
No pulmonary edema .