Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath terminates at cavoatrial junction . The cardiomediastinal and hilar contours are within normal limits . The aorta is tortuous . The lungs are clear . There is no pulmonary vascular congestion or pulmonary edema . As before , there are thoracic vertebral compression fractures with apparent opaque methylmethacrylate injections at multiple levels . No rib fractures are identified .
    OUTPUT:
    
No significant change from ___ . Clear lungs .