Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate a right PICC line with the tip within the right atrium . The tip needs to be pulled back 4 cm to be in appropriate position . There is no pneumothorax or other complication seen . Chest radiograph is otherwise unchanged from imaging earlier the ___ day . Bilateral pleural effusions are again seen , left greater than right . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Right - sided PICC line in place with the tip in the right atrium . Tip needs to be pulled back 4 cm to be in appropriate position . Otherwise , unchanged chest radiograph from earlier the same day . These findings were communicated to the IV nursing team at 4 :25 p .m . by telephone .