Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated which slightly limits assessment . Right - sided Port - A - Cath tip terminates in the lower SVC . Cardiomediastinal contours appear grossly unchanged allowing for patient rotation , with the heart size within normal limits . Pulmonary vasculature is not engorged . The lungs are hyperinflated with emphysematous changes re - demonstrated at the lung apices . Slight prominence of the interstitial markings at the lung bases appears relatively unchanged . No new focal consolidation , pleural effusion or pneumothorax is demonstrated . No acute osseous abnormalities seen .
    OUTPUT:
    
No new focal consolidation to suggest pneumonia . Emphysema .