Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New right - sided PICC is not in appropriate position , it coils back on itself in the right upper hemi thorax , to terminate in the right axilla . Recommend withdrawal and replacement / repositioning . There are low lung volumes . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal . Mediastinal contours unremarkable . No pulmonary edema is seen .
    OUTPUT:
    
New right sided PICC not in appropriate position , it coils back on itself in the right upper hemi thorax to terminate in the right axilla . Recommend withdrawal and replacement / repositioning . No pneumothorax seen .