Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath again seen in stable position as well as right axillary surgical clips . Relatively low lung volumes are noted . The lungs are clear without consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .