Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Numerous bilateral pulmonary nodules are grossly unchanged . A left - sided Port - A - Cath is present with distal tip terminating near the the superior cavoatrial junction . No pleural effusions or pneumothorax .
    OUTPUT:
    
1 . Unchanged location and appearance of left - sided Port - A - Cath . 2 . Numerous bilateral pulmonary nodules , grossly unchanged .