Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no consolidation , pleural effusion or pneumothorax . No concerning parenchymal opacities are identified , within the limitations of radiography . Heart size is normal . There is suggestion of a slight cortical irregularity along the posterior inferior endplate of one of the lower thoracic vertebral bodies seen on the lateral view , which is most likely artifactual .
    OUTPUT:
    
No radiographic evidence of pulmonary metastases . However , please note that if there is persistent clinical concern for metastatic disease , cross - sectional imaging should be obtained .