Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right internal jugular central venous catheter is unchanged . The lungs are essentially clear , the hilar and mediastinal contours are normal , and the heart size is stable . The sternal wires are misaligned compared to the prior radiograph , concerning for sternal dehiscence . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Malalignment of previously aligned sternal wires , concerning for sternal dehiscence . These findings were relayed to ___ , nurse for the cardiac surgery service , by Dr . ___ ___ telephone at 11 :19 a .m . on ___ .