Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A Port - A - Cath resides over the right chest wall with catheter tip extending to the mid SVC region unchanged . Extensive bilateral calcified pleural plaque is again noted right greater than left . A calcified granuloma projects over the left lower lung . No convincing evidence for pneumonia though evaluation of the right lung is limited . Heart remains mildly enlarged . The patient 's kyphotic positioning somewhat limits assessment of the mediastinum . Bony structures appear intact though demineralized .
    OUTPUT:
    
Extensive calcified pleural plaque limits assessment . No definite sign of pneumonia .