Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear where not obscured by overlying cardiac leads and wires . There is no effusion or pneumothorax . The cardiomediastinal silhouette is within normal limits . Median sternotomy wires are seen with a fracture through the superior most wire . No acute osseous abnormality is identified .
    OUTPUT:
    
No acute cardiopulmonary process .