Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP view of the chest provided . Right upper extremity access PICC line is seen intervally retracted with its tip projecting over the right axilla . Hyperinflated lungs with diffuse scattered reticulonodular opacities appear stable to mildly progressed at the right lung base . Tiny pleural effusions difficult to exclude . No pneumothorax or edema . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . Interval retraction of the right upper extremity PICC line , now seen terminating at the right axilla . 2 . COPD with superimposed multifocal pneumonia , slightly progressed .