Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are slightly under inflated , which accentuates bronchovascular markings . There is no focal consolidation concerning for pneumonia . No pleural effusion or pneumothorax is detected . The pulmonary vasculature is not engorged . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . The trachea is midline . A left subclavian approach Port - A - Cath is unchanged in position with the tip terminating in the mid-to - distal SVC . Surgical clips projecting in the right upper quadrant of the abdomen are compatible with prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process and no change from ___ .