Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the lower SVC . Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Patchy right upper lobe opacities are re - demonstrated , as seen on the prior CT , and thought to reflect infection . Small bilateral pleural effusions , larger on the left are re - demonstrated with associated lower lobe atelectasis . No new focal consolidation or pneumothorax is present . Multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
Patchy right upper lobe opacities , as seen on the prior chest CT , and thought to reflect areas of infection . No new focal consolidation . Small bilateral pleural effusions , with associated bilateral lower lobe atelectasis .