Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC continues to terminate in the lower superior vena cava . Heart size , mediastinal and hilar contours are within normal limits and without change . Lungs are grossly clear , and there are no pleural effusions . Multiple healed rib fractures are present bilaterally .
    OUTPUT:
    
Similar radiographic appearance of left - sided Port - A catheter , terminating in the superior vena cava .