Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 04 :02 is submitted .
    OUTPUT:
    
Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction . The heart appears mildly enlarged which may reflect cardiomegaly or pericardial effusion . Clinical correlation is advised . There is prominent right paratracheal and hilar soft tissue which may be vascular in etiology but raises the possibility of lymphadenopathy . Clinical correlation is advised . Lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia or pulmonary edema . No pleural effusions or pneumothorax .