Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the right lower lobe and left upper lobe , there are fiducial markers that are associated ill - defined opacities . Multiple rib deformities are seen . No focal consolidation seen . Heart size is mildly enlarged . The mediastinal and hilar contours are unchanged since ___ . The pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Fiducial markers in the left upper and right lower lobe at sites of previous treated lung cancer . Disease status could be more accurately assessed by chest CT if warranted clinically .