Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . There is no focal consolidation to suggest pneumonia . Heart size is top - normal . No evidence of vascular congestion or interstitial edema . No pleural effusion or pneumothorax . Osseous structures are . Degenerative changes of the glenohumeral and acromioclavicular joints are moderate . Old left mid clavicular fracture is also noted
    OUTPUT:
    
No acute cardiopulmonary process .