Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low . A right - sided Port - A - Cath tip terminates at the junction of the SVC and right atrium . Mild cardiomegaly persists with a left ventricular predominance . The mediastinal contour is slightly unfolded . Hilar contours are unchanged . Crowding of bronchovascular structures is present without overt pulmonary edema . Myelomatous osseous lesions involving the ribs bilaterally as well as the thoracic spine appear grossly unchanged from the recent radiograph , and better assessed on the previous CT . No new focal consolidation , pleural effusion or pneumothorax is present . Cervical thoracic spinal fusion hardware is incompletely assessed .
    OUTPUT:
    
Low lung volumes without focal consolidation to suggest pneumonia . Grossly unchanged appearance of multiple myeloma lesions in the chest .