Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no change in the bilateral moderate consolidation with pleural effusion in the lower lungs . Aspiration or pneumonia can not be excluded . Stability of the post-radic change and loculated apical pleural effusion in the right upper lobe . The calcified mediastinal lymph nodes are unchanged . There is a new right Port - A - Cath that ends in the lower superior vena cava . There is also a gastrostomy with residual contrast in the digestive tube . Unchanged degenerative change in the shoulders . There is no pneumothorax . The mediastinal and cardiac contours are unchanged .
    OUTPUT:
    
The moderate consolidation and pleural effusion in the lower lungs are unchanged since the previous exam . A superimposed infection or aspiration can not be excluded .