Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest re-demonstrates a right pectoral dual - channel catheter with tip in the cavoatrial junction . Cervical hardware related to fusion and posterior fixation appear unchanged . Overall extent and distribution of multifocal rib - based metastases appear unchanged since end of ___ . Allowing for respiratory motion , there are subtle increased opacities involving the right lung base and left mid lung , new since ___ , which could represent early evolving infection . There is no pneumothorax , vascular congestion , or large effusion . Assessment of osseous integrity is somewhat limited and should be correlated on cross - sectional imaging .
    OUTPUT:
    
Limited exam due to repiratory motion . Allowing for such , there are bilateral infrahilar reticular opacities , new since ___ , raising question of early evolving infection versus aspiration . Consider dedicated PA and lateral chest radiographs once able .