Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided central venous catheter ends in the lower SVC , unchanged . The lungs are clear with no areas of focal consolidation . There is no pleural effusion or pneumothorax . The aorta is tortuous . The cardiomediastinal silhouette is unchanged . Multiple epigastric clips are again noted . There is a moderate - sized hiatal hernia . Left - sided rib deformity is stable .
    OUTPUT:
    
No evidence of pneumonia .