Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi upright AP and lateral views of the chest provided . A right IJ access dialysis catheter is seen with its tip extending to the low SVC . The heart is mildly enlarged . Patient 's leftward rotation limits evaluation . There is no focal consolidation , effusion or pneumothorax . Vascular calcification is noted along the descending thoracic aorta . Bony structures are intact appear
    OUTPUT:
    
No acute intrathoracic process .