Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Limited evaluation due to respiratory motion especially in the lower lungs . The previously seen right basilar patchy opacity appears improved . A granuloma is seen in the right upper lobe . The interstitial markings are slightly prominent due to patient 's known emphysematous changes of the lungs . The cardiomediastinal silhouette and hila are normal . An ICD device is seen . RUE PICC line ends in the distal SVC . There are no displaced rib fractures .
    OUTPUT:
    
Limited , negative . PICC in appropriate position . Limited evaluation due to motion artifact , repeat CXR might be considered .