Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is unchanged with a left ventricular predominance . Sclerotic appearance of the bones is compatible with known osseous metastases . Mottled appearance of the left humerus is also compatible with known metastatic disease . Bilateral nephrostomy tubes are noted .
    OUTPUT:
    
No acute cardiopulmonary process .