Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the upper SVC . Cardiac silhouette size remains moderately enlarged . The mediastinal and hilar contours are unchanged . Mild pulmonary vascular congestion is not substantially changed in the interval . No focal consolidation , pleural effusion or pneumothorax is present . Hypertrophic changes are again seen in the thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion , similar to that seen on the prior study , without focal consolidation .