Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left Port - A - Cath is noted terminating within the lower SVC . Moderate left pleural effusion is noted . Low lung volumes . Bilateral , circumferential pleural thickening is noted . There is no pleural effusion or pneumothorax identified . There is a mild interstitial abnormality present . The cardiac borders are obscured . A moderate - sized hiatal hernia is noted .
    OUTPUT:
    
Bilateral , circumferential pleural thickening and a mild interstitial pulmonary abnormality . No focal consolidation or pleural effusion .