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 . There has been interval removal of the right IJ central venous catheter . The AICD device is unchanged with lead tips extending into the right atrium and right ventricle . The heart remains top normal in size . There is no focal consolidation , effusion , or pneumothorax . No signs of CHF . A calcified granuloma again seen projecting over the left upper lung . Bony structures are intact .
    OUTPUT:
    
No acute intrathoracic process .