Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ tip ends in the right atrium , approximately 3 cm distal to the cavoatrial junction . Sternotomy wires are intact and unchanged in position . The replaced aortic valve is intact and in the expected position . Small left pleural effusion . Right lower lobe atelectasis . No pneumothorax , focal consolidation , or pulmonary edema . Stable prominent cardiomegaly . No acute osseous abnormality .
    OUTPUT:
    
1 . Right IJ tip in the right atrium . Recommend pulling back 3 cm to position the tip at the cavoatrial junction . 2 . Small left pleural effusion . 3 . Right lower lobe atelectasis .