Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The newly placed right PICC tip projects over the expected region of the lower right atrium . Recommend pulling back approximately 6 - 7 cm to reposition the tip at the approximate region of the SVC - RA junction . Lung volumes are low . Left lower lobe atelectasis is mild . Mild central pulmonary vascular congestion . No effusion or pneumothorax . Small opacity , likely calcified granuloma , projecting over the left lung apex is unchanged since at least ___ . Diffuse , sclerotic appearance of the bones suggests
    OUTPUT:
    
1 . Right PICC tip is in the right atrium - recommend pulling back 6 - 7 cm to reposition at the SVC - RA junction . 2 . Diffuse sclerotic appearance of the bones can be seen with metastatic disease .