Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . A right chest wall Port - A - Cath is again seen with its tip residing in the region of the cavoatrial junction . A rounded density projecting over the right lower lung corresponds to a known breast implant . Bilateral pleural effusions are noted , small , though left greater than right . Basilar atelectasis is again noted . There is no convincing sign of pneumonia . Patient is known to have extensive osseous metastatic disease , which is best evidenced on the lateral view involving the sternum , which is sclerotic with pathological fracture involving the sternomanubrial junction .
    OUTPUT:
    
1 . Small bilateral effusions with bibasilar atelectasis . No definite signs of pneumonia or overt CHF . 2 . Known metastatic osseous disease .