Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change . Expansile lytic lesions involving the lateral right fourth and posterior left seventh rib are re - demonstrated . Associated pleural thickening along the right lateral mid hemi thorax is again seen . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . Cardiac and mediastinal silhouettes are stable given differences in technique and inspiration .
    OUTPUT:
    
No significant interval change . No focal consolidation to suggest pneumonia .