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 and right atrium . Heart size is normal . The aorta is diffusely calcified and tortuous . Pulmonary vasculature is not engorged . Low lung volumes are present with crowding of bronchovascular structures . Streaky opacities in the lung bases likely reflect areas of atelectasis . Spiculated opacity in the right upper lobe correlates to the spiculated lesion seen on previous chest CT . No focal consolidation , pleural effusion or pneumothorax is present . There is mild diffuse demineralization of the osseous structures without acutely displaced fracture noted .
    OUTPUT:
    
Low lung volumes with bibasilar atelectasis . Re - demonstration of spiculated opacity in the right upper lobe , better assessed on recent chest CT .