Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Right - sided dual - lumen central venous catheter is seen with distal tip in the upper right atrium . The lungs are clear of confluent consolidation or large effusion . There is no evidence of overt pulmonary edema . The cardiac silhouette slightly enlarged but decreased in size compared to previous exam . No acute osseous abnormality is identified . Old mid left clavicular fracture is identified .
    OUTPUT:
    
No acute cardiopulmonary process , no evidence of pleural effusion .