Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A cardiac monitoring device overlies the left chest wall . The heart size is top normal . The hilar and mediastinal contours are within normal limits . There is no pneumothorax , focal consolidation , or pleural effusion . Surgical clips near the GE junction are unchanged in position . Again seen is severe osteoarthropathy of the right glenohumeral joint with bone - on - bone impaction .
    OUTPUT:
    
No acute intrathoracic process .