Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is bibasilar bronchiectasis and fibrosis , more so on the left than the right , which is better characterized on the recent CT , and consistent with post-radiation changes . At least one of the known pulmonary nodules is identified on the left measuring 9 mm . The other small pulmonary nodules are difficult to evaluate . There is no new opacity , pulmonary edema , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Osseous destruction and the soft tissue metastasis in T8 and T9 are unchanged . An expansile lucent lesion in the left sixth rib is unchanged . No new osseous lesions are identified .
    OUTPUT:
    
1 . Known pulmonary metastases are better evaluated on the CT , though at least one is identified in the left lung . If further evaluation for change is clinically indicated , a CT is recommended . 2 . Unchanged bronchiectasis and post radiation changes at the bases . No new opacity to suggest pneumonia . 3 . Unchanged osseous metastases in T8 , T9 , and the left sixth rib .