Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC tip terminates at the lower SVC . A tubular structure projecting over the left hemithorax across the midline into the right hemi-abdomen most compatible with VP shunt . An endogastric tube courses inferiorly with its sideport projecting over the gastric bubble . The heart size is large , possibly exaggerated by AP technique . The mediastinal contours are within normal limits . The lungs are clear . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Lines and tubes in place ; no evidence for pneumonia .