Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with chest radiograph on ___ , there is no significant change . Again seen are clips in the left hemithorax adjacent to healed left - sided rib fractures . There is scarring at the lung bases and chronic blunting of the left hemidiaphragm , likely reflects pleural scarring . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . There is no hilar lymphadenopathy . Multilevel compression deformities in the thoracic spine are similar to prior .
    OUTPUT:
    
No radiographic evidence of metastatic disease in the thorax . Please note that CT would be more sensitive for the detection of metastatic disease .