Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Port - A - Cath resides over the right chest wall with catheter tip extending to the expected level of the superior vena cava . The lungs are clear bilaterally without focal consolidation , effusion , or pneumothorax . The heart size is normal . Mediastinal contour is unremarkable . The imaged osseous structures appear intact . Cortical irregularity at the right distal clavicle likely indicates an old injury .
    OUTPUT:
    
Port - A - Cath resides in appropriate position . No acute intrathoracic process .