Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest wall Port - A - Cath is in unchanged position ending in the right atrium . No focal consolidation , pleural effusion or pneumothorax . Normal heart size , mediastinal and hilar contours . Diffuse osseous metastatic disease not significantly changed from prior . Calcified mass in the left chest wall also unchanged .
    OUTPUT:
    
No acute process . Diffuse osseous metastatic disease , unchanged from prior