Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the left . The cardiac silhouette remains enlarged . Mediastinal contours are stable . No definite focal consolidation is seen . There is minimal to no pulmonary vascular congestion . No large pleural effusion or pneumothorax . Chronic change again seen at the right acromioclavicular joint and right shoulder with the humeral head high - riding . No displaced fracture is seen .
    OUTPUT:
    
Patient rotated . No definite acute cardiopulmonary process .