Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A PICC line terminates in the upper superior vena cava . A nasogastric tube courses across the mediastinum although the hemidiaphragms are barely included so the distal course is not assessed . The cardiac , mediastinal and hilar contours appear stable . There is no pleural effusion or pneumothorax . The findings are consistent with mild vascular congestion but not as severe as ten days earlier . Sequela of septic right shoulder appear unchanged .
    OUTPUT:
    
PICC line terminating in the upper superior vena cava .