Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and mitral valve replacement . The heart size is normal . Dense coronary arterial calcifications are seen . Mediastinal and hilar contours are unchanged . Chain sutures within the right mid lung field are unchanged . Calcified pleural plaques are again demonstrated . No new areas of focal consolidation , pleural effusion or pneumothorax are visualized . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary process .