Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Postoperative changes with median sternotomy , mediastinal clips and aortic CoreValve are again seen . Coronary artery stent is again identified . Left chest wall dual - lead pacing device is unchanged in position . Fracture of the superior most sternal wire is again noted . The lungs are clear without significant effusion , consolidation or edema . No acute osseous abnormality is identified .
    OUTPUT:
    
No acute cardiopulmonary process .