Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips are again noted . The lungs appear hyperinflated . There is no focal consolidation , large effusion or pneumothorax . The cardiomediastinal silhouette appears stable . Tortuosity of the aorta again noted . Bony structures intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Hyperinflated lungs without acute intrathoracic process .