Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Port - A - Cath is seen over the left chest with tip terminating at the cavoatrial junction . There is no focal consolidation , pleural effusion , or pneumothorax . Left upper lung density corresponds to one of several known pulmonary metastatic lesions . Known osseous metastatses .
    OUTPUT:
    
1 . No acute intrathoracic abnormality . 2 . Known metastatic disease in the chest and spine .