Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left subclavian approach tunneled Port - A - Cath is not significantly changed in position compared to the most recent prior study with slightly more inferior positioning of the port projecting over the left chest wall and the distal tip of the Port - A - Cath terminating at the confluence of the left brachiocephalic vein and the SVC . The Port - A - Cath appears intact and continuous throughout its length . There has been interval development of a moderate left pleural effusion with associated volume loss in the left lower lobe from ___ . In the appropriate clinical context , a superimposed infection can not be excluded . The right lung is clear . No pneumothorax is detected . The pulmonary vasculature is not engorged . The cardiomediastinal silhouette is stable and within normal limits . The visualized upper abdomen demonstrates surgical clips in the left upper quadrant likely related to prior surgery for gastric cancer . Thoracic kyphosis is noted with mild degenerative change .
    OUTPUT:
    
1 . No significant change in Port - A - Cath placement from ___ with tip terminating at the confluence of the left brachiocephalic vein and SVC . 2 . Interval development of moderate left pleural effusion with underlying atelectasis or consolidation .