Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with next preceding two - view chest examination obtained six hours earlier during the same day . Heart size remains normal . No configurational abnormalities identified . Unchanged appearance of thoracic aorta . No pulmonary vascular congestion is present . No new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free . There is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted ; cause of operation not identified . Similar as on the preceding portable chest examination , a right - sided PICC line is identified , seen to terminate in the SVC at a level 3 cm below the carina .
    OUTPUT:
    
No evidence of acute infiltrate in patient with history of productive cough .