Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath is again noted with tip terminating in the upper SVC . The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . The lungs are well - expanded and clear without focal consolidation concerning for pneumonia . Note is made of multiple air distended loops of bowel in the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process . Multiple air distended loops of bowel in the upper abdomen concerning for obstruction .