Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall port again terminates in the mid SVC . There are no pleural effusions or pneumothorax . The lungs are clear . Cardiomediastinal and hilar contours are normal . There is continued moderate elevation of the right hemidiaphragm . Multilevel degenerative changes in the thoracic spine , with exaggerated kyphosis .
    OUTPUT:
    
No acute cardiopulmonary process .