Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the upper SVC . Heart size remains moderately enlarged . The mediastinal and hilar contours are unchanged with enlargement of the pulmonary artery again suggestive of underlying pulmonary arterial hypertension . The aorta is diffusely calcified . Lungs are hyperinflated with emphysematous changes again demonstrated . Blunting of the right costophrenic angle appears unchanged , compatible with chronic pleural thickening . Chain sutures from prior wedge resections in the right lung are re- demonstrated . Patchy and streaky opacities are seen in the lung bases , more pronounced compared to the prior chest radiograph , which may reflect atelectasis but bronchial inflammation may be present , as was demonstrated on the prior CT . No focal consolidation , new pleural effusion or pneumothorax is present .
    OUTPUT:
    
1 . Increased streaky and patchy bibasilar airspace opacities may reflect bronchial inflammation , as seen on the prior CT . No focal consolidation . 2 . Emphysema and enlargement of the pulmonary artery suggestive of chronic pulmonary arterial hypertension .