Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided PICC line terminates in the proximal superior vena cava . The tip of the enteric tube is difficult to visualize on this exam . The cardiac silhouette remains enlarged with stable pulmonary vascular congestion and bilateral minimal pulmonary edema . Again rightward deviation of the trachea is seen secondary to known enlargement of the left lobe of the thyroid . No new focal consolidation , significant pleural effusions or pneumothorax is identified .
    OUTPUT:
    
Tip of the enteric tube can not be visualized on this exam . Recommend repeat radiographs to confirm tip placement . These findings were discussed with Dr . ___ at 10 : 23 a .m . by Dr . ___ ___ by telephone on the day of the exam .