Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is now a left - sided PICC line whose tip is in the mid SVC . Otherwise , there has been no change . Left lung apex is obscured by the patient 's face . Where seen , the lungs are clear . The cardiomediastinal silhouette is stable . Chronic changes partially visualized at the shoulders bilaterally .
    OUTPUT:
    
No definite acute cardiopulmonary process .