Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta remains tortuous . Mediastinal and hilar contours are otherwise unchanged . Lungs are clear . Pulmonary vasculature is normal . No pleural effusion or pneumothorax is present . There are moderate multilevel degenerative changes seen in the thoracic spine . Clips are noted within the left neck compatible prior left hemithyroidectomy . Multiple loose bodies are seen within the region of the right glenohumeral joint , potentially reflective of synovial osteochondromatosis .
    OUTPUT:
    
No acute cardiopulmonary abnormality .