Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided prepectoral Port - A - Cath in situ with the tip seen in the distal SVC . Evidence of previous gastric pull - through . Air-fluid level seen in the distal stomach ( intrathoracic ) . The density projecting over the lower vertebral bodies is presumed to be a fluid - filled stomach . There is attenuation of the cervical esophagus with shift to the left in keeping with known peritracheal adenopathy . Widening of the right paratracheal stripe in keeping with paratracheal adenopathy . Chronic , healed right - sided rib fractures . No airspace consolidation . No pleural effusions . No pulmonary edema .
    OUTPUT:
    
Attenuation of the cervical trachea secondary to peritracheal lymph nodes as known . No new areas of airspace consolidation to suggest pneumonia . This preliminary report was reviewed with Dr . ___ , ___ radiologist .