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 . Mediastinal and hilar contours are similar compared to the most recent chest CT with radiation fibrotic changes noted in the right upper and right lower lobes medially . Remainder of the lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Oral contrast material is noted within the colon . No definite acute osseous abnormalities are detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Radiation fibrosis changes in the right upper and right lower lobes .