Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged but unchanged . The mediastinal and hilar contours are normal . The pulmonary vascularity is not engorged . No focal consolidation , pleural effusion or pneumothorax is present . The distal left clavicle and several left - sided ribs demonstrate increased sclerosis likely compatible with metastatic disease .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Sclerotic lesions within the thorax concerning for metastatic disease . Correlation with any recent bone scan is recommended .