Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain clear except for minimal streaky density consistent with subsegmental atelectasis . The heart is normal in size . The aorta is mildly tortuous . An ICD remains in place . There is interval worsening of multiple wide - spread , predominantly osteoblastic lesions . There is new mild compression deformity of the mid thoracic vertebral body . An ICD remains in place . A MediPort catheter is present on the right . It s tip is obscured but it can be followed to the superior vena cava .
    OUTPUT:
    
No active pulmonary disease . ICD ___ MediPort catheter in place . Widespread skeletal metastases . New mild compression deformity of a mid thoracic vertebral body .