Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation or effusion . The cardiomediastinal silhouette is stable . Tortuosity of the descending thoracic aorta again seen . Median sternotomy wires and mediastinal clips are again noted . Chronic deformity of the proximal left humerus is noted .
    OUTPUT:
    
No acute cardiopulmonary process .