Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the right atrium , unchanged . Heart size is normal . The mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Calcified granulomas are again scattered in both lungs , the largest in the left apex . No focal consolidation , pleural effusion or pneumothorax is identified , however the extreme right costophrenic angle is excluded from the field of view . Known myeloma involvement of the left fifth rib is better assessed on the previous chest CT . Degenerative changes are again noted within the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .