Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single semi-supine frontal radiograph of the chest was acquired . There is a new right internal jugular central venous catheter ending in the mid SVC . Evaluation of the right lung apex is suboptimal secondary to the patient 's lordotic positioning , causing the medial aspect of the clavicle to project over the upper portion of the lung . A small right apical pneumothorax can not be excluded . There is no left pneumothorax . The lungs are clear . The heart size is normal . The mediastinal contours are normal .
    OUTPUT:
    
1 . Small right apical pneumothorax can not be excluded given patient positioning . Recommend acquiring an additional frontal projection with the patient in a fully upright position . 2 . New right internal jugular central venous catheter ends in the mid SVC . 3 . Clear lungs . Findings were discussed with Dr . ___ by Dr . ___ at 5 : 27 a .m . via telephone on the day of the study , one minute after discovery .