Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The catheter from a right chest Port - A - Cath courses in the subcutaneous soft tissues over the clavicle , then makes a 270 - degree counterclockwise loop before extending inferiorly from the right IJ to the mid SVC . It is difficult to tell whether this loop is in the subcutaneous tissues or the right internal jugular vein . Immediately after placement in ___ , the catheter followed the normally expected smooth arc from the subcutaneous tissues into the internal jugular vein . No intervening imaging is available The lungs are clear . There is no consolidation , effusion , or pneumothorax . The cardiac and mediastinal contours are normal .
    OUTPUT:
    
Right chest Port - A - Cath catheter makes an abnormal loop in the region of the internal jugular vein insertion . The tip is now in the mid SVC . Findings were discussed with ___ , RN , via telephone at 1 :00 p .m . , ___ .