Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Bilateral abandoned pacer leads are again seen . There has been interval removal of a right - sided PICC . Patient is status post median sternotomy . There is mild left base atelectasis . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac silhouette is mildly enlarged . The aorta is calcified . No overt pulmonary edema is seen . The right humeral head is high riding , which can be seen in rotator cuff disease . There is diffuse osteopenia .
    OUTPUT:
    
Mildly enlarged cardiac silhouette . No rib fracture seen . High - riding right humeral head can be seen in rotator cuff disease .