Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . There is persistent disruption of the first and second sternotomy wires consistent with fracture . Additional sternotomy wires are intact . Left upper quadrant clips are noted .
    OUTPUT:
    
1 . No acute cardiopulmonary process . Specifically no pleural effusion or pneumonia . 2 . No interval change in fractured first and second sternotomy wires .