Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Right - sided Port - A - Cath is again seen , unchanged in position , likely terminating at the cavoatrial junction / proximal right atrium . The lungs remain hyperinflated and relatively lucent , consistent with COPD with likely underlying emphysema . Bilateral nipple shadows should not be mistaken for pulmonary nodules . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . Left apical pleural thickening / possible small amount of fluid along the left apical region is stable since the prior study . Cardiac and mediastinal silhouettes are unremarkable with the right - sided cardiac silhouette not well assessed due to it being likely projecting behind the spine , but the findings are stable .
    OUTPUT:
    
1 . No acute cardiopulmonary process . Left - sided Port - A - Cath likely terminates at the cavoatrial junction / proximal right atrium . 2 . COPD .