Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is again noted . The lungs are clear without consolidation , effusion , or edema . The cardiomediastinal silhouette is within normal limits . Mean sternotomy wires and mediastinal clips are again noted . No acute osseous abnormalities . There is unchanged anterior wedging of a lower thoracic vertebral body .
    OUTPUT:
    
No acute cardiopulmonary process .