Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable frontal radiograph of the chest was acquired . A left Port - A - Cath ends in the mid SVC , not significantly changed . There has been interval extubation and removal of an enteric catheter . A partially imaged catheter projects over the right mid to upper abdomen , not significantly changed in appearance . There is a new density projecting below the accessed port in the left upper hemithorax . The lung fields appear otherwise clear . The heart size is normal . The mediastinal contours are not significantly changed . There are no pleural effusions . No pneumothorax is seen .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary process . 2 . Newly apparent round opacity projecting below the port in the left upper hemithorax ; repeat radiography , preferably with standard PA and lateral technique with deaccessing of the port if feasible , is suggested to reassess . Although the appearance may be associated with the accessed port , the possibility of a lung nodule should be excluded with short - term follow - up imaging . Findings and recommendations discussed with Dr . ___ at 4 pm by telephone while the patient was still in the ER .