Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC line again loops around and terminates in the right subclavian vein . The left IJ central venous catheter is unchanged . No pneumothorax . No consolidation . The pulmonary venous congestion is unchanged . No pleural effusion . The cardiac silhouette is slightly enlarged but unchanged . The mediastinum is normal .
    OUTPUT:
    
Unchanged right PICC line with tip lobe pain in the right subclavian vein . No change from prior image .