Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates within the proximal right atrium . No pneumothorax is present . Heart size is normal . Mediastinal and hilar contours are unremarkable . No focal consolidation , pleural effusion or pneumothorax is seen . Pulmonary vasculature is not engorged . Compression deformities and sclerotic lesions throughout the thoracic spine are compatible with known metastatic disease and appear unchanged .
    OUTPUT:
    
Right - sided Port - A - Cath tip within the proximal right atrium . No pneumothorax