Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate top normal heart size . Compared to the prior studies the mass in the left hilus and left mid lung is somewhat smaller and consolidated consistent with post radiation changes . No focal consolidation , pleural effusion or pneumothorax . Diffuse osseous sclerotic lesions are similar to the prior PET - CT .
    OUTPUT:
    
1 . No pneumonia , no failure , no large pulmonary recurrence . 2 . Detection of small nodules requires CT . 3 . Diffuse osseous metastases .