Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Port - A - Cath is in place , with tip over distal SVC . There is background hyperinflation , consistent with COPD . The cardiomediastinal silhouette is not enlarged . Mild aortic calcification noted . There is slight blunting of the right cardiophrenic angle , consistent with a small amount of pleural fluid or thickening . On the lateral view , there is suggestion of focal nodular density in the lower lobe posteriorly on 1 side . Additional patchy density projects over the cardiac silhouette . Indistinct opacities are seen laterally in both right and left lower zones . These small opacities likely correspond to opacities seen on the ___ chest CT . No CHF or large consolidation is identified . Oral contrast is noted within the bowel .
    OUTPUT:
    
1 . Port - A - Cath tip over distal SVC . 2 . Bibasilar focal opacities , likely corresponding to opacity seen on an outside the ___ chest CT . Correlation with clinical history is requested for further assessment . 3 . Small right effusion .