Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are unchanged , with the heart size within normal limits . Multiple clips and chain sutures are seen within the right mid lung field , left perihilar region , and both lung bases , compatible with prior lung resections , with associated scarring in these regions , not substantially changed in the interval . Remote bilateral rib fractures with associated pleural thickening and partial resection of the right 6th rib are unchanged . No new focal consolidation , pleural effusion or pneumothorax is present . Pulmonary vasculature is not engorged . There are no acute osseous abnormalities .
    OUTPUT:
    
Postsurgical changes in both lungs without acute cardiopulmonary abnormality .