Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Multiple support lines and tubes on prior are no longer visualized . The lungs are well expanded and clear of focal consolidation , effusion or pulmonary vascular congestion . The cardiomediastinal silhouette is top normal . Median sternotomy wires and additional hardware are identified as well as mediastinal clips . Degenerative changes seen at the right shoulder .
    OUTPUT:
    
No acute cardiopulmonary process .