Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Although the appearance of the left - sided PICC line has improved , it remains angled at its tip . Given its location , this could indicate that it extends into the azygos vein and should therefore be repositioned . No pneumothorax is detected . Otherwise , no significant changes identified .
    OUTPUT:
    
Abnormal appearance to the distal tip of the left - sided PICC line . Repositioning is recommended .