Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Abandoned pacer wires are again seen projecting over the right upper chest . Triple - lead left - sided AICD is again seen , unchanged in position . The cardiac and mediastinal silhouettes are stable with the cardiac silhouette remaining enlarged . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . There is no overt pulmonary edema . There are degenerative changes at the right shoulder joint . The right humeral head is high riding , which can be seen in rotator cuff disease .
    OUTPUT:
    
No acute cardiopulmonary process . Degenerative changes at the right shoulder .