Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . Bilateral nipple shadows are visualized . The lung fields appear otherwise clear . There is no pleural effusion or pneumothorax . The chest is hyperinflated . There is a deformity of the right acromioclavicular joint that is incompletely characterized but likely chronic , possibly post-traumatic . Small anterior osteophytes are noted along the thoracic spine .
    OUTPUT:
    
No evidence of acute disease . Deformity of the distal right acromioclavicular joint and clavicle , probably chronic , but incompletely characterized . Correlation with physical findings is suggested .