Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port again terminates at the superior cavoatrial junction . There has been interval left thoracentesis , with near - complete resolution of the left pleural effusion . No significant pneumothorax . Persistent right lower lobe opacity and small effusion , compatible with chronic post-radiation changes . Heart size is normal . The aorta is mildly calcified . The right breast is surgically absent , and left lumpectomy clips are also present .
    OUTPUT:
    
1 . Left thoracentesis , without pneumothorax . 2 . Right mastectomy and lower lobe radiation change .