Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided Port - A - Cath is present with the tip likely at or just beyond the atriocaval junction . Surgical clips are present in the left apex . The lungs appear slightly hyperinflated , consistent with emphysema . There is no focal airspace consolidation or pulmonary edema . There are post surgical changes in the left hemithorax with elevation of the left hemidiaphragm and pleural thickening . There is no right pleural effusion . There is no pneumothorax . The cardiac size is difficult to evaluate given the post surgical changes . The mediastinal contours are normal . Calcifications are noted within the aortic arch and the descending aorta .
    OUTPUT:
    
Post - surgical changes of the left hemi-thorax . No evidence of pneumonia or acute cardiopulmonary process .