Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , large effusion or evidence of pulmonary edema . There cardiomediastinal silhouette is stable . Prosthetic valve , presumably mitral and aortic core valve device are again noted . Median sternotomy wires are intact . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .