Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Postsurgical changes include chain sutures along the right upper mediastinum and median sternotomy wires , with fracture of the superior most wire . Right posterior rib irregularities and elevation of the right hemidiaphragm with scarring in the right lung base is likely also postsurgical . There is a thorax , pleural effusion , pulmonary edema , or focal airspace opacity . The heart size is normal . Degenerative changes are noted of the bilateral glenohumeral joints .
    OUTPUT:
    
No acute cardiopulmonary pathology . Postsurgical changes as described above .