Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest port terminates in the upper right atrium , unchanged compared with ___ . The lungs are hyperinflated and diaphragms are flattened , consistent is COPD . The heart size is within normal limits . No CHF or focal consolidation . Lateral view suggests a small left pleural effusion or small amount of pleural thickening posteriorly . This is new compared with the ___ CT scan , but similar to the ___ left lateral chest x-ray . A small amount of atelectasis is noted at the lung bases . Prominence of the right paratracheal soft tissues is unchanged compared with ___ and with a ___ chest CT and likely represents vascular structures . A rounded / curvilinear density overlying the right chest port is more conspicuous in comparison to the prior examination , but likely lies outside of the lungs . Elevation of the distal clavicle consistent with prior trauma is unchanged from ___ .
    OUTPUT:
    
Hyperinflation suggests background COPD . No acute pulmonary process identified . No focal consolidation . Possible small left posterior pleural effusion is similar to ___ . A density overlying the patient 's chest port likely lies outside of the lungs , however oblique views are recommended for further evaluation .