Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged with enlargement of the pulmonary arteries again noted suggestive underlying pulmonary arterial hypertension . Pulmonary vasculature is not engorged . No focal consolidation , pleural effusion or pneumothorax is present . Multiple right axillary clips are re- demonstrated . Diffuse sclerosis of the osseous structures is compatible with widespread metastatic disease .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Widespread osseous metastases .