Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . A left - sided Port - A - Cath is again seen , terminating at the distal SVC . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Right apical pulmonary thickening is seen . There are extensive osseous metastases . Multiple left - sided rib deformities are again seen , which may be due to prior trauma or related to metastatic disease . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
No focal consolidation . Extensive osseous metastatic disease .