Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . The heart is mildly enlarged . No typical configurational abnormality is seen . The thoracic aorta is unremarkable . No mediastinal abnormalities are present . The pulmonary vasculature is not congested . No evidence of acute pulmonary infiltrates is present and the lateral and posterior pleural sinuses are free . Apical area on frontal view does not disclose any pneumothorax .
    OUTPUT:
    
Borderline heart size but no evidence for acute pulmonary congestion or infiltrates . No pleural effusion . Rather advanced degenerative changes are noted in the left shoulder joint .