Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there has been no significant change in the appearance of the chest . Median sternotomy wires are intact . Linear areas of atelectasis in the bilateral mid to lower lungs are again seen . There is no focal lung consolidation . Cardiomediastinal silhouette is unchanged . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No significant change in the appearance of the chest .