Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . The cardiomediastinal silhouette and hilar contours are normal . There is no pleural effusion or pneumothorax . Right axillary surgical clips are noted . Severe degenerative changes are noted at the left glenohumeral joint with deformity of the humeral head .
    OUTPUT:
    
No acute cardiopulmonary process .