Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the low SVC . Patient is status post median sternotomy , CABG , and mitral valve repair . Heart size remains mildly enlarged . The mediastinal contour is similar . Bilateral hilar prominence is compatible with mildly enlarged pulmonary arteries , unchanged . Pulmonary vasculature is not engorged . There is continued right middle lobe focal opacity , not substantially changed since the prior examinations with associated bronchiectasis . Patchy bilateral lower lobe opacities also persists , without new focal area of consolidation identified . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities detected .
    OUTPUT:
    
No new focal consolidation identified . Persistent right middle lobe focal opacity with associated bronchiectasis and patchy bilateral lower lobe opacities , previously thought on prior CT to reflect a combination of infection and graft - versus - host disease .