Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Complete collapse of the right middle and lower lobes is redemonstrated . The aerated right upper lobe shows no focal opacities . No focal opacities are seen in the left lung . Coarse interstitial opacities in the left lower lobe is compatible with minimal fibrosis , unchanged from multiple priors . Small right - sided pleural effusion is also stable . There is no left - sided effusion . No pneumothorax . Cardiac and mediastinal contours are unchanged with tortuosity of the thoracic aorta again noted . Severe degenerative changes of both shoulders is present , with high riding humeral heads and obliteration of the acromiohumeral intervals bilaterally compatible with rotator cuff disease .
    OUTPUT:
    
1 . Unchanged chronic collapse of the right middle and lower lobes , mild right - sided pleural effusion and minimal fibrosis of the left lower lobe . 2 . Severe degenerative changes of both shoulders with signs of rotator cuff disease .