Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Right - sided Porta-cath is seen , with distal aspect of the catheter not well seen , but seen to at least the distal SVC / cavoatrial junction ; it s distal course difficult to assess due to the overlying spinal hardware . Patient is status post median sternotomy and CABG . There are low lung volumes . No focal consolidation or pleural effusion is seen . There is no evidence of pneumothorax . There is sclerosis of the left scapular spine . Known osseous lesions in the thoracic spine are better evaluated on CT .
    OUTPUT:
    
1 . Low lung volumes , but otherwise no acute cardiopulmonary process . 2 . Sclerosis of the left scapular spine is concerning for osseous metastases . Additional foci of osseous metastases seen on prior CT , better evaluated on CT .