Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is seen with catheter tip over the lower SVC . There are increased interstitial markings throughout the lungs compatible with fibrotic changes . There is no new consolidation nor effusion . Cardiomediastinal silhouette is stable . Hilar adenopathy was better seen on prior exam . Known pulmonary nodules are not delineated on this x-ray . Surgical clips seen in the upper abdomen .
    OUTPUT:
    
Chronic changes in the lungs without acute cardiopulmonary process . Known pulmonary nodules and hilar adenopathy better seen on prior CT .