Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall power injectable port , the tip projecting over the superior cavoatrial junction . The cervicothoracic spinal hardware is incompletely evaluated . Bilateral pleural based masses are grossly unchanged with associated osseous destruction of multiple ribs bilaterally . No pneumothorax or pleural effusion identified . The appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
No significant interval change in the radiographic appearance of the chest since the prior exam .