Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Cervical spinal hardware is partially visualized in the lower neck . There is a right shoulder prosthesis . Overlying EKG leads are present . Lung volumes are low . Lungs are clear . No convincing signs of pneumonia or edema . No large effusion or pneumothorax . The cardiomediastinal silhouette appears relatively unchanged . Bony structures are intact .
    OUTPUT:
    
No acute findings .