Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged . Mediastinal and hilar contours are similar . Lungs are well expanded and clear . Pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is present . Diffuse sclerosis of the osseous structures is compatible with osseous metastases .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Diffuse sclerotic metastases .