Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest were compared to previous exam from ___ . The lungs are hyperinflated , but clear of confluent consolidation or effusion . Cardiomediastinal silhouette is within normal limits . Severe degenerative changes noted at the shoulders , worse on the right than on the left . Osseous and soft tissue structures are otherwise unremarkable . IVC filter noted within the abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .