Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the mid / lower SVC . Right - sided dual - chamber pacemaker device is re - demonstrated with leads terminating in the right atrium and right ventricle . Heart size is normal . Mediastinal and hilar contours are unchanged . The pulmonary vasculature is not engorged . Minimal patchy opacities are seen in the lung bases , likely areas of atelectasis . Known pulmonary nodules seen on previous chest CT are not clearly identified on the current radiograph . No focal consolidation , pleural effusion or pneumothorax is identified . There are mild degenerative changes seen in the thoracic spine . Clips are noted within the right chest wall .
    OUTPUT:
    
1 . Mild atelectasis in the lung bases without focal consolidation . No displaced fracture identified , though if there is continued concern for a rib fracture , dedicated rib series is recommended . 2 . Bilateral pulmonary nodules seen on previous CT are not well assessed on the current radiograph .