Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided Port - A - Cath terminates over the cavoatrial junction . The cardiomediastinal silhouette and hilar contours are stable . Postsurgical changes are seen in the right hemi thorax , similar in appearance to the prior chest radiograph . Few , bilateral pulmonary lesions are seen and are better characterized on recent chest CT from ___ . On the current film , note is again made of a previously seen nodular opacities at the right base medially , as well as a possible focal nodular opacity in the right upper zone , overlying the right fifth rib laterally at the medial border of the scapula . There is likely a small right - sided pleural effusion as well as pleural thickening along the inferior right chest wall and right lung base . This is probably associated with an area of focal irregularity of the lateral right eighth rib , that is consistent with metastatic disease as characterized on recent CT . There is no evidence of CHF , focal consolidation or pneumothorax . Aside from minimal tenting of the left hemidiaphragm and possible minimal blunting of the left costophrenic angle , no significant left effusion is noted .
    OUTPUT:
    
1 . Few , bilateral pulmonary lesions are seen and are better characterized on recent chest CT from ___ . 2 . No evidence of CHF , acute pulmonary infiltrate , or pneumothorax . 3 . Pleural fluid and / or thickening at the right lung base , new or more pronounced compared with the ___ CT scan . This appears to be associated with a known metastatic lesion involving the right eighth rib . The possibility of a minimally displaced pathologic fracture in this location would be difficult to exclude .