Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged cardiomegaly . As before , there are midline sternotomy wires and several mediastinal clips . The patient is status post aortic valve replacement . Lungs are clear . No pleural effusion . Again seen is prominent extrapleural fat at the right midlung laterally , underlying chronic right lateral rib fractures . There is exaggerated thoracic kyphosis with mild wedging of multiple mid thoracic vertebral bodies . Chronic mid right clavicular fracture is also noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality .