Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall Port - A - Cath is seen with catheter tip extending to the mid SVC region . Hyperinflated lungs are noted with flattened diaphragms compatible with COPD . No focal consolidation , large effusion or pneumothorax is seen . There is likely mild bibasilar atelectasis . The cardiomediastinal silhouette appears stable . No acute bony abnormalities . No free air below the right hemidiaphragm .
    OUTPUT:
    
COPD without superimposed pneumonia .