Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lines and Tubes : Newly placed right - sided PICC extends into the right internal jugular vein and needs to be repositioned . Lungs : Well inflated and clear . Pleura : There is no pleural effusion or pneumothorax . Right costophrenic angle has not been included on this radiograph . Mediastinum : There is no cardiomegaly . Mediastinal silhouette is within normal limits . Stable aortic knob calcification . Bony thorax : Unchanged compared to the prior exam .
    OUTPUT:
    
Newly placed right - sided PICC extends into the right internal jugular vein , tip not visualized , and requires to be repositioned . Chest radiograph obtained subsequently at 18 :52 demonstrates repositioning of this PICC with tip terminating at the cavoatrial junction .