Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy . There is no pneumothorax or pleural effusion . Multiple surgical clips are seen in the right upper quadrant as well as along the right heart border . Hilar contours are normal . No evidence of change in the prior study .
    OUTPUT:
    
No evidence of changes from the prior study to suggest metastatic disease .