Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top - normal . Cardiomediastinal silhouette and hilar contours are unremarkable . Lungs are hyperinflated but clear . There is no large pleural effusion or pneumothorax . Clips are noted in the right anterior chest wall and right axilla . Degenerative changes seen at the shoulders bilaterally . Old healed right lateral rib fractures are noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality .