Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear , where not obscured by overlying cardiac leads . There is no effusion . Cardiac silhouette is stable in configuration . Atherosclerotic calcifications again noted at the arch . No acute osseous abnormality identified noting degenerative changes at the shoulders bilaterally .
    OUTPUT:
    
No acute cardiopulmonary process .