Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation , effusion or pulmonary vascular congestion . Cardiac silhouette is mildly enlarged , similar to prior . Atherosclerotic calcifications noted at the aortic arch . Degenerative changes seen at the shoulders . No acute osseous abnormalities identified . Surgical clips project over the right axilla .
    OUTPUT:
    
Mild cardiomegaly without acute cardiopulmonary process .