Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No prior . Lungs are clear of focal consolidation , effusion , or pneumothorax . Patient is status post median sternotomy , compatible with history of VSD repair . Cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .