Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left - sided PICC line which terminates in the upper right atrium . There are surgical clips that project along the left breast and axilla , and the left breast appears slightly smaller than the right suggesting volume loss from prior surgery . The heart is normal in size . The mediastinal and hilar contours appear within normal limits . There is no pleural effusion or pneumothorax . Slight degenerative changes are noted along the thoracic spine .
    OUTPUT:
    
No evidence of acute disease . No evidence of free air . PICC line terminating in the upper right atrium .