Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with chain sutures again noted projecting over the left apex . Post - surgical changes are again seen in the right lung with linear areas of scarring noted in the right upper lobe and right lung base . The heart size remains mild to moderately enlarged but unchanged . The mediastinal and hilar contours are stable . No new focal consolidation demonstrated . No pleural effusion or pneumothorax is visualized . There are no acute osseous abnormalities . No evidence for pulmonary vascular congestion .
    OUTPUT:
    
No acute cardiopulmonary process .