Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath is again seen , terminating in the mid to distal SVC . The patient is status post median sternotomy . Right apical pleural thickening is again seen . Pleural thickening on the right lateral chest and right base / costophrenic angle again seen which may be due to a small pleural effusion . There has been interval development of patchy opacity at the lateral left lung base raising concern for developing pneumonia . There may be mild pulmonary vascular congestion . No pneumothorax is seen . The cardiac silhouette remains enlarged .
    OUTPUT:
    
Interval development of patchy opacity at the left lung base is concerning for pneumonia . Persistent elevation of the right hemidiaphragm and concern for right pleural effusion along with right pleural thickening . Mild pulmonary vascular congestion .