Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is again seen . Right - sided volume loss is seen suggesting prior right sided lobectomy . Spiculated nodule seen on prior CT is not clearly delineated . Otherwise the lungs are clear . Increased density in associated with multiple ribs and several thoracic vertebral bodies is compatible with known metastases .
    OUTPUT:
    
No definite acute cardiopulmonary process .