Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and cardiac valve replacements are again noted . Clips are also noted at the level of the GE junction . The lungs are clear and well expanded . No focal consolidation , effusion , or pneumothorax is seen . The cardiomediastinal silhouette is normal . A dextroscoliosis is noted with the apex at the TL junction . Bony structures are intact .
    OUTPUT:
    
No acute intrathoracic process .