Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with intact appearing sternal wires . Multiple mediastinal surgical clips suggest prior CABG surgery . The patient is status post mitral valve replacement . A left pectoral pacemaker has dual leads terminating in the right atrium and right ventricle also with 2 epicardial leads . Multiple healed right - sided rib fractures are re demonstrated . There is no significant pleural effusion , focal consolidation or pneumothorax . Previously seen left - sided lateral pleural effusion has essentially resolved . The cardiomediastinal silhouette is top - normal in size but unchanged .
    OUTPUT:
    
Stable appearance of the chest without evidence of acute cardiopulmonary process .