Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest wall power injectable Port - A - Cath is present , the tip extending to the mid SVC . There is an unchanged rounded opacity projecting over the anterior left third rib . No new iliac consolidation , pleural effusion or pneumothorax . The size of the cardiac silhouette is mildly enlarged but unchanged .
    OUTPUT:
    
Unchanged rounded opacity in the peripheral left upper lung zone . No new consolidation identified .