Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left PICC is seen with tip in the mid SVC . Asymmetric right apical scarring is again seen , unchanged . The lungs are clear of consolidation or effusion . Cardiomediastinal silhouette is stable . Descending thoracic aorta is tortuous . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .