Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath resides over the right chest wall with tip poorly visualized due to overlying AICD wires . AICD leads appear unchanged with leads extending to the region the right atrium , right ventricle and coronary sinus . The lungs appear clear . No pleural effusion or pneumothorax is seen . The cardiomediastinal silhouette appears stable . Diffuse sclerosis within the thoracic vertebral bodies is compatible with known diffuse osseous metastatic disease .
    OUTPUT:
    
No acute intrathoracic process . Diffuse osseous metastasis .