Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in upright position . Comparison is made with the next preceding similar chest examination of ___ . The heart size is now within normal limits , the thoracic aorta of ordinary appearance and the pulmonary vasculature is not congested . No signs of acute infiltrates on this single view AP chest examination . The lateral pleural sinuses are free and no pneumothorax is seen in the apical area . Comparison with the examination of ___ demonstrates removal of the at that time existing left subclavian central venous line terminating in the upper SVC . A degree of moderate cardiac enlargement existed at that time , questionable bilateral pleural effusions blunted the lateral pleural sinuses . The right - sided Power PICC was also identified , seen to terminate at the level of the carina .
    OUTPUT:
    
Interval change over three and a half years indicates that two lines have been removed .