Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port -A - Cath tip terminates in the right atrium , as seen previously . Heart size is normal . The aorta is diffusely calcified and tortuous . Mediastinal and hilar contours are unchanged . The pulmonary vasculature is not engorged . Lungs are hyperinflated with severe emphysema again noted , but without focal consolidation . Multiple previously demonstrated pulmonary nodules on CT are not as well assessed on the current radiograph . No pleural effusion or pneumothorax is detected . Partially imaged within the upper abdomen is a stent within the common bile duct . Sclerotic serpiginous lesion in the proximal left humerus is incompletely imaged , potentially an enchondroma or bone infarct .
    OUTPUT:
    
Severe emphysema . No focal consolidation to suggest pneumonia .