Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple bilateral pulmonary nodules are again seen . There is scarring / atelectasis at the lateral left lung base as well pleural thickening . There is persistent blunting of the left costophrenic angle . There is also slight blunting of the right costophrenic angle . Patchy left base retrocardiac opacity is seen , nonspecific , could relate to infection or metastatic disease . No pneumothorax is seen . Left - sided Port - A - Cath terminates in the right atrium .
    OUTPUT:
    
Multiple bilateral pulmonary nodules are again seen . There is scarring / atelectasis at the lateral left lung base as well pleural thickening . There is persistent blunting of the left costophrenic angle . There is also slight blunting of the right costophrenic angle . Patchy left base retrocardiac opacity is seen , nonspecific , could relate to infection or metastatic disease . No pneumothorax is seen . Left - sided Port - A - Cath terminates in the right atrium .