Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins . No pneumothorax is present . Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vascularity is normal . Lungs are clear . No large pleural effusion is identified although the left costophrenic angle is not completely included in the field of view . There is no acute osseous abnormality .
    OUTPUT:
    
Left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins , without pneumothorax . No acute cardiopulmonary process .