FINDINGS:
The lungs are well expanded and clear.  There is no focal
 consolidation, effusion, or pneumothorax.  Thickening of the left major
 fissure is unchanged.  Median sternotomy wires are intact.  Mediastinal
 vascular clips are in expected positions.  Interval changes to the right AC
 joint are unchanged.

IMPRESSION:
No acute cardiopulmonary process.