Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are present . Heart size appears mildly enlarged , and likely accentuated due to low lung volumes . Mediastinal contour is unchanged with mild atherosclerotic calcification of the aortic arch . There is crowding of the bronchovascular structures due to low lung volumes but no overt pulmonary edema is demonstrated . No focal consolidation , pleural effusion or pneumothorax is identified . Atelectatic changes are noted at the lung bases . Diffusely sclerotic appearance of the imaged osseous structures is compatible with known metastatic disease .
    OUTPUT:
    
Low lung volumes without pulmonary edema . Diffuse sclerotic metastatic disease .