Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Median sternotomy wires appear intact . Overlying EKG leads are present . Elevated right hemidiaphragm again noted . The lungs appear grossly clear bilaterally without convincing signs of pneumonia or edema . No large effusion or pneumothorax . Cardiomediastinal silhouette is unchanged . Bony structures appear grossly intact .
    OUTPUT:
    
Limited , no acute findings .