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 . The lungs are clear with without focal consolidation , large effusion or pneumothorax . The cardiomediastinal silhouette appears unchanged . No signs of congestion or edema . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute intrathoracic process .