Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath terminates in the lower superior vena cava . A staple line is visible in the right upper lung . The left lung again shows mild volume loss , parenchymal opacity suggesting atelecatsis , and moderate pleural thickening or effusion loculation , but without significant change .
    OUTPUT:
    
No significant change in the left - sided pleural effusion or thickening with associated volume loss and atelectasis .