Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is mildly tortuous . The pulmonary vascularity is not engorged . Hilar contours are normal . The lungs are grossly clear . No pleural effusion or pneumothorax is seen . There are mild degenerative changes in the thoracic spine and left glenohumeral joint . No acute osseous abnormalities present . Surgical clips are noted in the right upper quadrant the abdomen compatible prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary abnormality .