Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cerclage wire noted projecting over the posterior neck . Heart is normal size and thoracic aorta is tortuous . Cardiomediastinal silhouette is unchanged . Lungs are well expanded and clear with no evidence of focal consolidations to suggest pneumonia . No pleural effusions and no pneumothorax .
    OUTPUT:
    
Normal radiographic study of the chest .