Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Cardiomediastinal silhouette is stable with moderate cardiomegaly . Degenerative changes again noted at the shoulders . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process .