Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . Elevation of the right hemidiaphragm is likely secondary to moderate / large intra-abdominal ascites . Lungs are clear . There is no focal consolidation , pleural effusion or pneumothorax . There is a round lytic lesion in the mid thoracic spine , seen on the lateral view , concerning for a metastatic lesion .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Round lytic lesion in the mid thoracic spine , concerning for a metastatic lesion , given history of ovarian cancer . Further workup with either a dedicated chest CT or bone scan is recommended .