Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Right chest wall Port - A - Cath is again noted with catheter tip in the region of the lower SVC . In this patient with known lung cancer there is persistent left hilar opacity though slightly decreased in overall conspicuity from prior chest radiograph . Hyperinflated lungs reflect known COPD . There is no focal consolidation concerning for pneumonia . No large effusion or pneumothorax . The cardiomediastinal silhouette is unchanged . Bony structures are intact . No free air seen below the right hemidiaphragm .
    OUTPUT:
    
As above . ___ , MD ___=___