Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lumen central venous catheter terminates in the superior vena cava . Tubing associated with a spinal shunt of the left pleural space appears unchanged . Metastatic lung nodules are not well visualized radiographically . The cardiac , mediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . Partly visualized lower thoracic spinal fixation and cage fusion hardware is noted .
    OUTPUT:
    
Stable appearance of the chest . No evidence of acute disease .