Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph the demonstrates a right PICC with the tip in the mid SVC and a heart which is top normal in size . The lungs appear unchanged with mild basal predominant reticulonodular interstitial abnormalities , which are likely chronic . There is no pneumothorax or large pleural effusion . Multiple distended loops of bowel are again seen , not fully evaluated on this exam .
    OUTPUT:
    
1 . Unchanged chest radiograph without new focal pulmonary findings . 2 . Persistently distended loops of bowel . These findings were discussed via telephone by Dr . ___ with Dr . ___ at ___ on ___ .