Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Port -A - Cath terminates in the upper SVC as on the prior study . Previously noted focal opacity just lateral to the access port is different in appearance than prior exam and likely is part of the access catheter . There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Previously noted rounded opacity projecting inferior to the access port now lies lateral to it and likely is part of the catheter .