Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates at the junction of the SVC with the right atrium . Cardiac silhouette size is top normal . Mediastinal and hilar contours are unremarkable , and the lungs are clear . There is no pulmonary vascular congestion . Small left pleural effusion is demonstrated , similar compared to the prior exam . No pneumothorax is present . There are no acute osseous abnormalities . Multiple clips are noted within the upper abdomen along with a biliary stent .
    OUTPUT:
    
Unchanged small left pleural effusion . Otherwise no acute cardiopulmonary abnormality .