Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the low SVC . Cardiac and mediastinal contours are unchanged with post radiation changes and scarring seen in the right upper paramediastinal region . Patient is status post right upper lobectomy with unchanged elevation of the right hemidiaphragm indicative of volume loss . Blunting of the right costophrenic angle is similar , compatible with known pleural thickening . No focal consolidation , pleural effusion or pneumothorax is identified . The pulmonary vasculature is not engorged . Moderate multilevel degenerative changes are seen in the thoracic spine . Known metastases involving the right fourth and fifth anterior ribs are poorly assessed on this exam .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Status post right upper lobectomy with similar post treatment changes in the right upper paramediastinal region .