What does this mean in simple term

FINDINGS:
The patient has fibronodular changes in bilateral lung apex. No consolidation or pleural fluid. The cardiomediastinal silhouette is unremarkable.

There are degenerative changes of the right shoulder and thoracic spine. There are surgical clips upper aspect of the abdomen.

IMPRESSION:
Findings as above with no evidence of acute disease.

In simple terms, this means that the patient has some changes in their lungs, shoulder, spine, and abdomen, but there is no sign of any new or serious medical conditions.