Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear with no evidence of a focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette remains stable . Two - lead AICD appears in place . Median sternotomy wires appear intact . Post - surgical changes are noted in the right upper lobe with surgical sutures and deformity of the posterior right 5th rib . No acute fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process .