Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views the chest were provided . Right chest wall Port - A - Cath is again noted with its tip extending into the low SVC . Lungs are clear without focal consolidation , effusion or pneumothorax . Cardiomediastinal silhouette is normal and stable . No signs of edema . Bony structures appear intact . No free air below the right hemidiaphragm is seen . Supine and upright views of the abdomen pelvis were provided . A PEG tube projects over the epigastric region . A colostomy is noted in the left lower quadrant anterior abdominal wall . There are dilated loops of small bowel with differential air - fluid levels concerning for small bowel obstruction . No free air is seen below the right hemidiaphragm . Calcified phleboliths project over the pelvis .
    OUTPUT:
    
1 . Findings concerning for small bowel obstruction . 2 . No acute findings in the chest .