Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and aortic valve replacement . Heart size is borderline enlarged . The aorta is tortuous . Mediastinal and hilar contours are unchanged . Calcified granuloma within the left upper lobe is re - demonstrated . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
No acute cardiopulmonary process .