Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP view of the chest provided . Patient is status post median sternotomy , wires are properly aligned and intact unchanged from ___ . The lungs are well - inflated . Large calcified granulomas in the right lung apex are unchanged from ___ . There is no pleural effusion , or pneumothorax . The hilar and cardiomediastinal contours are normal . Surgical clips in the upper abdomen at midline are unchanged from ___ . Surgical clips and probable sutures project over the mediastinum and are unchanged from ___ . Imaged bony structures are grossly unchanged from ___ .
    OUTPUT:
    
1 . Large calcified granulomas in the right lung apex are unchanged from ___ . 2 . The lungs are clear and there is no pneumothorax . No significant changes from ___ .