Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or pulmonary edema . The cardiomediastinal silhouette is stable . Left chest wall dual lead pacer is again noted . There is no visualized rib fracture . Median sternotomy wires and mediastinal clips are again seen .
    OUTPUT:
    
No acute cardiopulmonary process . No visualized rib fracture .