Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are within normal limits . Peripheral opacity within the right lower lobe is compatible with post radiation changes . No new areas of focal consolidation demonstrated . Known bilateral pulmonary nodules are better seen on the prior CT . No pleural effusion or pneumothorax is demonstrated . Destructive lytic lesions are again seen within the right - sided ribs compatible with metastases . Multiple clips are demonstrated within the upper abdomen bilaterally .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Post radiation changes in the right lower lobe . Multiple lytic right rib metastases .