Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . Median sternotomy wires and surgical clips in the mediastinum and right axilla are noted . The lungs are well expanded . Pleural calcification is seen along the lateral left lung . The lungs are otherwise clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . The aorta is again noted to be markedly tortuous . The left posterior rib defect is seen , likely postsurgical .
    OUTPUT:
    
No acute cardiopulmonary process .