Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath terminates in the lower superior vena cava . The cardiac , mediastinal and hilar contours appear unchanged . The lungs appear clear . There are no pleural effusions or pneumothorax . Thin anterior flowing osteophytes are noted along the thoracic spine . Surgical clips project along the epigastrium in the midline .
    OUTPUT:
    
No evidence of acute disease .