Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without consolidation or edema . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . No fracture is identified . Degenerative changes of the right shoulder are present with acromioclavicular spurring .
    OUTPUT:
    
1 . No acute cardiopulmonary process or fracture . 2 . Moderate degenerative changes of the right shoulder .