Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Patient is status post median sternotomy and pacemaker placement . Unchanged appearance of the sternotomy wires and positioning of the pacemaker leads . Cardiomediastinal silhouette is stable . Lungs are well expanded and clear . There is no focal consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . Please note that chest radiography is not sensitive for detection of small pulmonary nodules .