Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta remains tortuous with mild aortic knob calcifications demonstrated . Mediastinal and hilar contours are otherwise unchanged . Left - sided Port - A - Cath tip terminates in the lower SVC , unchanged . The pulmonary vascularity is not engorged . Known scattered right lung nodules compatible with metastases are better seen on the prior chest CT , with the largest nodule noted laterally in the right lower lobe measuring 5 mm . Other pleural based metastatic lesions of the right hemithorax are better assessed on the recent CT . No focal consolidation , left - sided pleural effusion or pneumothorax is identified . Trace right pleural effusion appears to be present . Destruction of the right 7th rib laterally is re - demonstrated .
    OUTPUT:
    
Known right pulmonary and pleural based metastatic lesions are better depicted on the recent CT exam . No acute cardiopulmonary abnormality otherwise identified . Unchanged osseous metastasis involving the right ___ lateral rib .