Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 2 .1 cm above the level of the carina . A nasoenteric catheter courses below the diaphragm , and is at least within the stomach , though the tip is incompletely imaged . The tip of a right PICC remains too low at the level of the right atrium , proximal repositioning is again recommended . There has been interval removal of a right internal jugular catheter . Left lower lobe collapse is unchanged from prior examination . A moderate right pleural effusion appears stable . There is persistent pulmonary vascular congestion , without overt interstitial edema , unchanged from prior . Moderate cardiomegaly is unchanged . There is no pneumothorax . Median sternotomy wires appear intact .
    OUTPUT:
    
1 . Right PICC at the level of the right atrium . Proximal repositioning is recommended . 2 . Standard position of all other support devices . 3 . Persistent left lower lobe collapse . 4 . Unchanged moderate right pleural effusion with central pulmonary vascular congestion . Dr . ___ communicated the above results to Dr . ___ at 9 :47 time on ___ via telephone , 5 minutes after discovery .