Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are unchanged . The heart size is within normal limits . Pulmonary vascularity is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Multiple sclerotic osseous metastatic lesions are re-demonstrated including involvement of both distal clavicles and left lateral sixth rib , all which were better visualized on the recent PET - CT from ___ .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Multiple osseous sclerotic metastases , better seen on the recent PET - CT from ___ .