Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided Port - A - Cath terminates at the cavoatrial junction , unchanged from prior examination . There is no evidence of focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is unchanged . Multiple chronic left - sided rib fractures are noted . Severe degenerative changes are seen at the bilateral acromioclavicular joints .
    OUTPUT:
    
No acute cardiopulmonary process .