Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs demonstrate no focal consolidations , pleural effusion , or pneumothorax . The heart size is normal . There is mild tortuosity of the aorta . The cardiomediastinal silhouette is otherwise unremarkable . Sclerotic appearance of the thoracic vertebral bodies likely represents osseous metastatic disease .
    OUTPUT:
    
No acute cardiopulmonary process . Osseous metastatic disease .