Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath terminates within the SVC , unchanged . Heart size is normal . Mass adjacent to the aortic arch as well as bilateral pulmonary nodules are again demonstrated , and relatively unchanged , better assessed on the prior CT . Small left pleural effusion persists . Streaky opacity in the left lung base likely reflects atelectasis . Chain sutures are noted within the right lower lobe . Patchy opacity within the right lung base also appears relatively unchanged compared to the prior studies . No pneumothorax or right - sided pleural effusion is identified . There is no pulmonary vascular congestion . No acute osseous abnormalities are visualized . No free air is seen under the diaphragms .
    OUTPUT:
    
Relatively similar appearance of the chest compared to the prior study with continued bibasilar patchy airspace opacities and small left pleural effusion . Multiple pulmonary nodules and mass adjacent to the aortic arch are unchanged . No free air is identified under the diaphragms .