Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval placement of a right Port - A - Cath with tip at the cavoatrial junction . There are two chest tubes projecting over the right lung base . There has been significant decrease and right pleural effusion . No left - sided effusion is seen . Bilateral interstitial opacities , most prominent in the left perihilar region are consistent with lymphangitic spread of tumor as seen on recent CT . Cardiomediastinal silhouette is stable . A small right apical pneumothorax is present .
    OUTPUT:
    
1 . Interval decrease in right pleural effusion with 2 right chest tubes in place . Small right apical pneumothorax noted . 2 . Interval placement of right Port - A - Cath terminating at the cavoatrial junction . 3 . Similar pattern of bilateral interstitial opacities and left perihilar opacity consistent with known lung cancer and lymphangitic spread .