Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated slightly to the left . The patient is status post median sternotomy and CABG with several sternotomy wires again seen to be fractured . Cardiac and mediastinal silhouettes are stable . Multiple old anterior lateral left - sided rib deformities are again seen . No focal consolidation . No large pleural effusion . No evidence of pneumothorax .
    OUTPUT:
    
No significant interval change given differences in patient position .