Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath terminates in the mid superior vena cava . The cardiac , mediastinal and hilar contours appear stable . Slight blunting of lateral and posterior costophrenic sulci on the left suggests the possibility of a trace effusion . The right costophrenic sulci appear sharp . There is no pneumothorax . Predominantly sporadic widespread but bony metastases are present , noting lysis and a soft tissue mass along the course of the anterolateral course of the left fourth rib , as before .
    OUTPUT:
    
No evidence of acute disease . Widespread skeletal metastases .