Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC again extends well into the right atrium . If the desired position of the tip is at or just above the cavoatrial junction , the catheter could be pulled back by approximately 5 .5 - 6 cm . Patchy right middle lobe opacity is seen , new since the prior study , worrisome for pneumonia . Left lung is clear . There is no pleural effusion or pneumothorax . Cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Patchy right middle lobe opacity , raising concern for pneumonia . Recommend followup to resolution . Right - sided PICC again extends deep into the right atrium ; if the desire position of the tip is at or just above the cavoatrial junction , the catheter could be pulled back by approximately 5 .5 - 6 cm .