Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are clear of consolidation , effusion , or pulmonary vascular congestion . Cardiac silhouette is enlarged but stable . The aorta is tortuous . Degenerative changes seen at the shoulders bilaterally . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .