Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy , mitral valve replacement , and transcatheter aortic valve replacement . Cardiac silhouette size remains normal . The mediastinal and hilar contours are unchanged with left - sided mediastinal clips again noted . Pulmonary vasculature is normal . Mild upper lobe predominant emphysema is re - demonstrated . No focal consolidation , pleural effusion or pneumothorax is present . The osseous structures are diffusely demineralized without acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .