Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previously seen right PICC is no longer visualized . Right internal jugular line is seen with tip in the right atrium and should be withdrawn approximately 3 cm to be at the cavoatrial junction . There is no evidence of pneumothorax . The lungs are grossly clear . The cardiac silhouette is enlarged but stable in configuration . Dense mitral annular calcifications are noted . Left chest wall dual - lead pacing device is again seen as well as left - sided dual - lumen central venous catheter with distal tip in the right atrium . Median sternotomy wires are again noted .
    OUTPUT:
    
New right internal jugular line with tip in the right atrium . Retraction by approximately 3 cm would place tip at cavoatrial junction . No pneumothorax .