Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The lungs appear hyperinflated no convincing sign of pneumonia or CHF . A nodular opacity projects over the left sixth rib in the left mid lung at the site of a nodule seen on prior CT . No effusion or pneumothorax . The cardiomediastinal silhouette is stable . Multiple rib lesions noted compatible with metastatic disease . There appears to be a pathological fracture involving a left seventh lateral rib arch appear
    OUTPUT:
    
Bony metastasis with possible pathological fracture , left seventh lateral rib . No pneumonia .