Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no effusion , consolidation , or edema . Cardiomediastinal silhouette is stable . Median sternotomy wires and mediastinal clips are again seen . No acute osseous abnormalities . Sclerosis of the visualized osseous structures , for example involving the right scapula and proximal humerus are compatible with metastatic disease .
    OUTPUT:
    
No acute cardiopulmonary process .