Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC terminates at the lower SVC . The heart size is enlarged . There is no pneumothorax , pleural effusion , or focal consolidation . Moderate degenerate changes are again demonstrated throughout the thoracic spine , including multilevel bridging osteophytes . Extensive coronary vascular calcifications are incidentally noted .
    OUTPUT:
    
Left PICC terminating at the lower SVC .