Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the mid SVC . Heart size is normal . Right mediastinal contour bulge in the region of the azygos is compatible with underlying lymphadenopathy as seen on the previous exams . Fullness of the right hilum reflects known lymphadenopathy . There is no pulmonary vascular engorgement . Lungs are hyperinflated with severe centrilobular emphysema is again demonstrated which is upper lobe predominant . Right apical spiculated lesion is re - demonstrated , but the adjacent satellite nodule is not well assessed on the current exam . Streaky opacity in the left lung base is likely reflective of atelectasis . No pneumothorax or pleural effusion is present . No acute osseous abnormalities identified .
    OUTPUT:
    
Left basilar atelectasis . Unchanged mediastinal and right hilar lymphadenopathy along with right apical spiculated lesion . Severe centrilobular emphysema .