Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal portable view of the chest was obtained . The patient is rotated with respect to the film and is in lordotic position . The heart is of normal size . A large hiatal hernia is similar to prior . Lungs are clear without focal or diffuse abnormality . No pleural effusion or pneumothorax . No radiopaque foreign body . Mild degenerative changes are present in bilateral glenohumeral joints .
    OUTPUT:
    
No acute cardiopulmonary process .