Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The study is somewhat limited due to patient rotation . Right PICC has been removed . The heart size remains moderately enlarged . The mediastinal and hilar contours are unchanged . Blunting of the right costophrenic angle with right basilar patchy opacity appears unchanged , likely reflecting chronic pleural thickening with associated atelectasis or scarring . Left lung is clear . No new areas of focal consolidation are demonstrated . There is no pneumothorax or new pleural effusion . Chronic left anterior shoulder dislocation is re - demonstrated . Cervical spinal fusion hardware is incompletely visualized .
    OUTPUT:
    
Chronic changes within the right lung base with chronic pleural thickening . Chronic anterior dislocation of the left shoulder .