Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Surgical clips project along the right central mediastinum . The heart is normal in size . Tortuosity and dilatation of the thoracic aorta appear unchanged . The proximal descending aorta is again calcified . Hyperinflation is present . There is no pleural effusion or pneumothorax . A traumatic deformity of the right posterior fifth rib appears unchanged .
    OUTPUT:
    
Stable appearance of the chest . No definite evidence of acute disease .