Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema identified . The heart size is normal . Mediastinal contours and hilar contours are normal . Redemonstrated is a left humeral head prosthesis , and extensive degenerative changes noted within the right glenohumeral joint . There is no displaced rib fracture identified . Multi - level degenerative changes are noted within the thoracic spine , as well as an unchanged lower thoracic vertebral body wedge shaped deformity . Diffuse idiopathic skeletal hyperostosis is noted along the anterior aspect of multiple thoracic vertebral bodies
    OUTPUT:
    
1 . No radiologic evidence for acute cardiopulmonary process . 2 . Extensive osteoarthritic changes within the thoracic spine and right glenoumeral joint , as well as thoracic DISH and a stable lower thoracic vertebral body wedge shaped deformity . 3 . No evidence for acute rib fracture . In the setting of persistent clinical concern , a dedicated rib series can be obtained .