Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral radiographs demonstrates an enlarged heart . Patient is status post median sternotomy , wires appear intact . Clips are noted projecting over the left heart border and mediastinum . There is no overt pulmonary edema , pleural effusion , or pneumothorax . Extensive osteolytic process of the right first rib , left distal clavicle and left lateral rib is identified . There is opacification of the right apex as well as surrounding subtle patchy ossific densities about the distal left clavicle suggestive of associated soft tissue mass .
    OUTPUT:
    
Osteolytic abnormalities with possible soft tissue involvement involving the right first rib , distal left clavicle , and lateral left rib are concerning for metastatic process .