Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Multiple surgical clips are again noted at the leak region of the GE junction . Spinal hardware projects over the lumbar spine . The lungs appear clear without definite signs of pneumonia or CHF . The heart appears mildly enlarged . Mediastinal contours stable . Severe glenohumeral degenerative disease is again noted .
    OUTPUT:
    
No acute findings .