Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the interval since the prior study , a right - sided PICC is been removed and a right internal jugular catheter has been placed . This terminates in the distal SVC . The trachea is central . The cardiomediastinal contour is normal . The heart is not enlarged . No consolidation , pneumothorax or pleural effusion seen . The visualized bony structures are unremarkable in appearance . No free air seen under the diaphragm .
    OUTPUT:
    
No acute cardiopulmonary process seen .