Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with intact wires . The lungs are clear although hyperexpanded . No suspicious opacities for malignancy are identified on this chest radiograph . The mediastinum are unremarkable except for tortuous aorta .
    OUTPUT:
    
No change from the ___ exam with hyperinflated lungs .