Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest demonstrate a right - sided PICC line with the tip at least in the superior SVC , although the course of the catheter can not be followed beyond that point due to overlying pacemaker leads . The tip is not within the right atrium . If a precise location of the catheter tip is desired , oblique views could be considered , although these still may not provide the answer given that the PICC line and the pacemaker leads are within the same vessel . Again seen are large bilateral pleural effusions and bibasilar atelectatic changes . There is some improved lung volume over previous exam , but there is persistent elevated pulmonary vascular pressure . There is no pneumothorax or other complication seen . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Right - sided PICC line with tip at least in the superior SVC , but the tip can not be localized on this view due to overlying pacer leads . These findings were communicated to the IV nursing team at 11 :30 a .m . by phone .