Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Port - A - Cath resides over the right chest wall with catheter tip extending into the region of the low SVC . Lung volumes are low and the patient 's chin obscures the lung apices . There is a left apical opacity consistent with known necrotic mass , assessed in more detail on prior CT from ___ . A known mass in the right lower lung appears slightly increased from prior CT though similar tube most recent chest radiograph . No convincing signs of pneumonia or overt CHF . Cardiomediastinal silhouette is grossly stable . Imaged bony structures appear intact .
    OUTPUT:
    
Left apical mass , right lower lung nodule consistent with known metastatic disease . No definite superimposed pneumonia . Port - A - Cath unchanged with tip in the low SVC .