Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is somewhat limited by low lung volumes and lordotic positioning . Indistinct consolidations in the left lower lobe worrisome for infection and perhaps a small effusion . There is no pneumothorax . Heart size appears normal . There is a left - sided Port - A - Cath and the tip is in appropriate location . Surgical clips are seen projecting over the right axilla . Diffuse sclerotic lesions are seen throughout the bony structures and is compatible with known osseous metastases .
    OUTPUT:
    
1 . Left lower lobe consolidations with probable effusion worrisome for infection . 2 . Diffuse sclerotic bone lesions compatible with known metastases .