Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The heart appears mildly enlarged . The mediastinal contour is normal . The lungs appear relatively clear without convincing evidence for pneumonia or edema . No large effusion or pneumothorax . There is severe degenerative disease in the thoracic spine with mild kyphotic angulation at the thoracolumbar junction . Degenerative changes also notable at the right shoulder .
    OUTPUT:
    
Mild cardiomegaly without signs of edema or pneumonia .