Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , PA and lateral . There is no significant interval change from the prior study . The lungs are clear . The heart size is top normal , and unchanged . There is no pneumothorax . Small bilateral effusions are still present . Median sternotomy wires and multiple surgical clips are still present . There is no pulmonary edema . Large hiatal hernia is re-demonstrated
    OUTPUT:
    
No change from the prior radiograph . No acute cardiopulmonary process .