Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC line tip in the mid SVC . Increased heart size , stable . Increased pulmonary vascularity , similar . Suggestion of pulmonary artery hypertension , stable . Old rib fractures . No pleural effusion .
    OUTPUT:
    
PICC line tip mid SVC . Increased heart size , pulmonary vascularity , similar