Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . A left upper extremity access PICC line is seen with its tip projecting over the upper SVC . Opacity projecting over the right mid to lower hemi thorax is secondary to right breast implant . The heart remains mildly enlarged . The mediastinal contour is unchanged . There is residual retrocardiac opacity likely reflecting a combination of consolidation and effusion . Bony structures are intact .
    OUTPUT:
    
1 . PICC line tip positioned appropriately . 2 . Persistent retrocardiac opacity likely reflecting residual effusion consolidation .