Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left internal jugular central venous catheter , terminating in the proximal SVC / SVC brachiocephalic junction , without new pneumothorax seen . The left lung is hyperinflated and relatively lucent , likely due to underlying COPD . There is a large lucency projecting over the right mid - to - lower lung which may represent a large bleb , underlying loculated pneumothorax is not excluded . Opacity at the right upper lung is again seen , which may be due to some volume loss , underlying aspiration , infection not excluded . Previously noted nodular opacity projecting over the right upper lung is no longer appreciated . No priors available for comparison . There is scarring and evidence of some volume loss on the right with some shift of the mediastinum to the right , correlate with history of prior procedure to the right hemithorax / lung . Endotracheal tube is approximately 2 .5 cm at the level of the carina . The nasogastric tube is similar in appearance , with side port at the GE junction / distal esophagus and in the very proximal stomach . As suggested previously , recommend advancement so that it is well within the stomach . Cardiac and mediastinal silhouettes are similar .
    OUTPUT:
    
Interval placement of left internal jugular catheter terminating at the SVC / brachiocephalic junction / proximal SVC without evidence of new pneumothorax . Previously noted nodular opacity projecting over the right upper lung is no longer appreciated . Otherwise , the remainder of the lung fields is similar , see above .