Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been placement of a right internal jugular central line which upon first attempt was positioned within the IVC and upon second attempt after pullback is in the low right atrium . Recommend retracting about 6 - 7 cm to be in the distal SVC . There is no pneumothorax . Otherwise , there is no significant change in the appearance of the lungs since the prior radiograph .
    OUTPUT:
    
Right internal jugular central line terminates in the low right atrium . Recommend retracting about 6 - 7 cm for positioning in the distal SVC . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 4 : 25 a .m .