Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is unchanged from prior . The right - sided PICC terminates at the mid SVC . On limited frontal view , sternotomy wires are intact . There is a small pleural effusion at the right lung base . There is mild cardiomegaly and pulmonary vascular congestion . There is no pneumothorax .
    OUTPUT:
    
Study is grossly unchanged from prior . No acute cardiopulmonary process . For further evaluation of shoulder pain , dedicated shoulder views are recommended .