Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One AP portable view of the chest . The right internal jugular central venous catheter ends in the upper right atrium . Median sternotomy wires are again seen with fracture of the uppermost wire and wire located third from the top . A portion of the fractured median sternotomy wire is projecting over the left heart , new since ___ , in the epicardial fat . Mediastinal clips are unchanged . There is moderate cardiomegaly . There is no focal consolidation . There is no pneumothorax or large effusion .
    OUTPUT:
    
1 . Right internal jugular central venous catheter ends in the upper right atrium . There is slight increase in the right paratracheal fullness , which may indicate small bleed after IJ placement . Recommend close follow up . 2 . Fractured median sternotomy wire fragment is projecting over the left heart in the epicardial fat , slightly changed in position compared to ___ and may be freely mobile . These findings were discussed with Dr . ___ at 8 : 10 am on ___ by telephone .