Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are intact midline sternotomy cerclage wires and multiple surgical ___ in the anterior heart . The hyperinflated lungs are clear . Heart size is normal . The aorta is tortuous . The hilar and mediastinal contours are normal . Pulmonary vascularity is normal . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No pneumonia or congestive heart failure .