Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Right IJ access dialysis catheter is seen terminating in the lower SVC . The lungs are hyperinflated with slightly coarsened lung markings corresponding to areas of subpleural fibrosis seen on prior exam . No signs of pneumonia , edema , large effusion or pneumothorax . Cardiomediastinal silhouette appears unchanged with aortic knob calcifications again seen . Imaged bony structures appear intact
    OUTPUT:
    
No acute findings .