Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post interval spinal fusion involving the upper to mid thoracic spine . The patient is intubated . Lines , tubes , and drains appear otherwise unchanged aside from placement of a new right internal central jugular venous catheter that terminates in the superior vena cava . A pacemaker device and right - sided chest tube appear unchanged . There is mild congestion , but substantially improved without evidence for pleural effusion or pneumothorax . The cardiac , mediastinal and hilar contours appear unchanged . No unanticipated foreign body is demonstrated . There is a fracture of the right clavicle with displacement by half shaft width .
    OUTPUT:
    
No evidence for radiodense foreign body . Discussed with Dr . ___ ___ after the study by telephone .