Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates at the low SVC . Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Bronchiectasis with associated patchy opacity in the right lower lobe is similar compared to the recent CT . Left lung is clear except for unchanged left upper lobe 8 mm pulmonary nodule . Other previously seen pulmonary nodules on CT are not well assessed on the current radiograph . No new focal consolidation , pleural effusion or pneumothorax is present . Right eleventh expansile lytic rib lesion is re - demonstrated . Thoracolumbar fixation devices are re- demonstrated in the osseous structures are diffusely demineralized unchanged appearance of compression deformities at the T10 and T11 vertebral bodies .
    OUTPUT:
    
Patchy right lower lobe opacity with bronchiectasis , similar to the prior CT , which may reflect post radiation change or inflammation . No new focal consolidation . Similar appearance of right eleventh rib lytic metastasis .