Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Moderate degenerative changes are seen in the imaged thoracic spine . Soft tissue anchors are seen projecting over both humeral heads .
    OUTPUT:
    
No acute cardiopulmonary abnormality .