Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates within the mid SVC . The cardiac and mediastinal contours are unchanged with the heart size within normal limits . Pulmonary vasculature is not engorged . Hyperinflation of the lungs with emphysema is re - demonstrated . Patchy opacities within the lower lobes bilaterally may reflect areas of atelectasis or infection . A trace right pleural effusion is also demonstrated . Left upper lobe rounded mass measuring up to 3 .8 cm is not substantially changed in the interval . No pneumothorax is detected . There are no acute osseous abnormalities .
    OUTPUT:
    
Patchy bilateral lower lobe opacities may reflect atelectasis or infection . Trace right pleural effusion . Unchanged left upper lobe rounded mass concerning for malignancy . Other previously noted nodules within the lungs are better seen on PET - CT . Emphysema .