Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient had prior right mastectomy with axillary lymph node dissection . There is no new consolidation . Right apical post-radiation change is stable and multiple metastases to the rib and the spine are unchanged . Mediastinal and cardiac contours are normal . There is no pleural or pericardial effusion .
    OUTPUT:
    
Patient has prior history of metastatic breast cancer . There is no new lung consolidation . There is no pneumonia .