Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation is seen . No large pleural effusion is seen . There is no pneumothorax . The cardiac silhouette is mildly enlarged . Aortic knob calcification is noted . Degenerative changes are seen at the acromioclavicular and glenohumeral joints .
    OUTPUT:
    
No acute cardiopulmonary process .