Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the lower SVC . The cardiac , mediastinal and hilar contours are stable . Patient is status post radiation treatment to the right upper lobe for small cell lung cancer , with relatively unchanged pleural thickening and atelectasis . A fiducial seed is also demonstrated within the inferior aspect of the treatment bed in the right upper lobe . Severe emphysematous changes are again noted with hyperinflation of the lungs . No new focal consolidation is present . There is no pleural effusion or pneumothorax . No evidence of pulmonary edema . No acute osseous abnormality is seen .
    OUTPUT:
    
No significant interval change compared to the prior exams with post-radiaton treatment changes in the right upper lobe for small cell lung cancer . Severe emphysema . No new areas of lung opacification are present , and there is no evidence of congestive heart failure .