Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of right - sided Port - A - Cath terminating in the distal SVC / cavoatrial junction . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . There is heterogeneous sclerosis involving the vertebral bodies at all levels of the visualized spine as well as projecting over multiple ribs , concerning for osseous metastatic disease . No acute fracture is seen .
    OUTPUT:
    
No acute cardiopulmonary process . Sclerotic osseous metastatic disease .