Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right internal jugular central venous line has been placed . There is no pneumothorax or evidence of mediastinal widening . The tip is at the distal SVC . Redemonstrated is bilateral pleural effusions , unchanged . The left upper lobe obstructive mass with left upper lobe collapse is again seen . Asymmetrical right - sided pulmonary edema is unchanged . Cardiomediastinal hilar contours are unchanged .
    OUTPUT:
    
Interval placement of right internal jugular vein central venous catheter with tip at the distal SVC . Otherwise unchanged compared the study done 46 minutes earlier .