Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided Port - A - Cath terminates within the proximal right atrium . The lungs are grossly clear without lobar consolidation , pleural effusion , pneumothorax , or pulmonary edema . Numerous dense osseous metastases are again visualized , including lesions seen anteriorly to the heart and projecting over the left upper lung , all of which are more discretely visualized on the patient 's recent chest CT . The cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
No acute cardiopulmonary process . Known osseous metastatic disease is better evaluated by CT examination .