Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no consolidation , effusion , or edema . The cardiomediastinal silhouette is within normal limits . Multiple fractured median sternotomy wires are again noted . No acute osseous abnormalities , old healed left anterior rib fractures are noted . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process .