Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP upright chest radiograph was obtained . A new right internal jugular line terminates in the upper SVC / SVCbrachiocephalic junction . Indistinctness of the hilar vasculature has minimally increased since 8 : 50 am . A thin line at the right apex may represent a small pneumothorax . There is no consolidation or effusion . Cardiac and mediastinal contours are normal .
    OUTPUT:
    
1 . Possible small right - sided pneumothorax after right IJ line placement . Recommend short term follow - up . 2 . Mild central pulmonary vascular congestion . These findings were discovered at 14 :30 and discussed with Dr ___ , by Dr . ___ , the covering MD who was immediately paged .