Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port -A - Cath tip is in the proximal right atrium . Heart size is borderline enlarged . Mediastinal and hilar contours are normal . Known mediastinal lymphadenopathy is not well appreciated on these views . The pulmonary vascularity is not engorged . Two dominant left lower lobe nodules appear unchanged , and are better delineated on the prior CT . Other known pulmonary nodules seen on CT are not well assessed on the current exam . No pleural effusion , focal consolidation or pneumothorax is seen . No acute osseous abnormalities visualized .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Two left lower lobe pulmonary nodules , unchanged . Known multiple other bilateral pulmonary nodules and mediastinal lymphadenopathy are better assessed on the recent CT .