Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates a right pectoral Port - A - Catheter with tip terminating in the lower SVC or upper atrium . Multiple pulmonary nodules are better appreciated on prior cross - sectional studies . A dominant left hilar mass has begun to grow after earlier remission . Worse left hemidiaphragm elevation is explained by phrenic nerve impingement . There is no confluent consolidation , pneumothorax , or large pleural effusion . Prominent epicardial fat pad likely contributes to slight blunting of the left costophrenic angle .
    OUTPUT:
    
1 . No evidence for acute infection . 2 . Growing left suprahilar mass and growing right lung nodules due to progressive metastatic lung cancer ; probable left phrenic nerve dysfunction . 3 . Right sided central infusion port ends at the superior cavoatrial junction as before .