Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the lower SVC . Heart size is mildly enlarged , unchanged . The aorta is tortuous . Pulmonary vasculature is not engorged . Multiple bilateral pulmonary nodules are demonstrated , the largest measuring up to 4 mm in the right lung base , better appreciated on the recent PET - CT . Minimal atelectasis is seen in the lung bases without focal consolidation . No pleural effusion or pneumothorax is identified . Widespread osseous metastatic disease is again noted with compression deformities of several mid and lower thoracic vertebral bodies . Partially imaged is a percutaneous catheter within the right lower quadrant of the abdomen . Calcifications are noted within the right chest wall .
    OUTPUT:
    
Diffuse osseous metastatic disease . No radiographic evidence for pneumonia .