Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Postsurgical changes are noted with intact median sternotomy wires . The aorta appears tortuous . Mild vascular congestion is noted . The lungs are clear with no evidence of a consolidation , effusion , or pneumothorax . The heart is at the upper limits of normal . No acute fractures are identified with fracture of the lower thoracic spine again noted along with degenerative changes and osteopenia of the thoracolumbar spine .
    OUTPUT:
    
No acute cardiopulmonary process . Mild vascular congestion is noted .