Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart is normal in size and cardiomediastinal contour is unremarkable . Lungs are symmetrically expanded and clear . A small right pleural effusion is possible . There is no pneumothorax . An irregular bony coalition between the posterior right ___ and 8th ribs likely corresponds to healed fractures . There is interval removal of the left internal jugular central venous catheter . Left - sided PICC terminates in the mid to lower SVC .
    OUTPUT:
    
1 . Left - sided PICC line is in the mid to lower SVC . 2 . Small right effusion .