Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New right IJ catheter tip is near the cavoatrial junction . There is posterior spinal hardware that appears unchanged from priors . There are extensive pulmonary and osseous metastases in the chest , better characterized on same - day CT .
    OUTPUT:
    
Right - sided IJ catheter tip is likely at the cavoatrial junction .