Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral chest radiograph . Cardiomegaly is again noted with asymmetric prominence of the interstitial pulmonary markings which raises concern for edema though lymphangitic tumor spread is difficult to exclude . No large effusion is seen . No pneumothorax . Diffuse osseous metastatic disease is re - demonstrated .
    OUTPUT:
    
Cardiomegaly and interstitial prominence , right greater than left concerning for asymmetric edema versus lymphangitic tumor spread . Diffuse bony metastatic disease .