Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided Port - A - Cath terminates below SVC . Radiation fibrosis extends along the right mediastinum and right upper lobe . The heart size is normal . Again seen is a moderately tortuous aorta . The lungs are hyperexpanded , compatible with chronic pulmonary disease . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Unchanged right hilar and upper lobe radiation fibrosis . No superimposed acute process detected .