Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are relatively hyperinflated but clear without consolidation , effusion , or pneumothorax . There is no edema . The cardiomediastinal silhouette is within normal limits . Median sternotomy wires are again noted . Fracture of 1 of the wires is again noted . No acute osseous abnormalities . Right upper mediastinal opacity is similar compared to exam from ___ is compatible with tortuosity of the great vessels .
    OUTPUT:
    
No acute cardiopulmonary process .