Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Port - A - Cath has its tip ending at the lower SVC . The heart silhouette is upper limits of normal . Bilateral healed rib fractures are seen , and the lungs are clear of focal consolidation or effusions . Multiple round lesions are not well characterized without comparison imaging .
    OUTPUT:
    
No focal consolidation or pleural effusion .