Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no pneumothorax or focal airspace consolidation . Blunting of the posterior costophrenic angles may represent small pleural effusions , unchanged . Heart is mildly enlarged . No pulmonary edema . Mediastinal and hilar contours are unchanged . The bones are diffusely sclerotic , compatible with metastatic disease . There is no significant change from ___ .
    OUTPUT:
    
Possible small pleural effusions . No focal consolidation . Diffuse osseous metastases .