Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker device is re - demonstrated with leads in unchanged positions . Heart size remains mild to moderately enlarged . Dense mitral annular calcifications are again noted . Mediastinal and hilar contours are unchanged with diffuse atherosclerotic calcifications seen in the thoracic aorta . Pulmonary vasculature is not definitively engorged . Minimal atelectasis is seen in the lung bases without focal consolidation . No pleural effusion or pneumothorax is present . Moderate multilevel degenerative changes are again seen in the thoracic spine . Clips are noted in the right upper quadrant of the abdomen . Degenerative changes of the right acromioclavicular and glenohumeral joints are re - demonstrated with probable chronic anterior dislocation of the right glenohumeral joint .
    OUTPUT:
    
No acute cardiopulmonary abnormality .