Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath resides over the left chest wall with catheter tip in the region of the mid to low SVC . Surgical clips project over the right chest wall . The lungs appear clear without focal consolidation , large effusion or pneumothorax . Diffuse sclerotic appearance of the bony structures is consistent with metastatic disease as seen on prior CT . No definite sign of pathological fracture .
    OUTPUT:
    
Osseous metastatic disease . No acute intrathoracic process .