Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Minor medial right base scarring is again seen . Surgical clips overlie the right lower hemi thorax . No focal consolidation is seen . There is no pleural effusion or pneumothorax . A right - sided Port - A - Cath is seen similar in position compared to prior . Left - sided AICD is stable in position . The cardiac and mediastinal silhouettes are unremarkable . Foci of sclerosis are seen scattered throughout the osseous structures , consistent with metastatic disease
    OUTPUT:
    
No acute cardiopulmonary process .