Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant interval change compared to the most recent prior chest radiograph . Median sternotomy wires and mediastinal clips are again noted . A severe dextroscoliosis of the thoracic spine is present . No focal lung consolidation is seen . The cardiomediastinal silhouette is unremarkable . There is no pleural effusion or pneumothorax . No evidence of pulmonary edema .
    OUTPUT:
    
No radiographic evidence of pneumonia .