Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right internal jugular catheter . The tip can not be visualized due to pacemaker leads , but it at least reaches the upper SVC . The endotracheal tube ends 3 .6 cm above the carina . Nasogastric tube follows the expected course ending below the diaphragm , although the tip is not visualized . There is gaseous distention of the stomach . Left upper lobe and possibly right lung pneumonia is unchanged . There is diffuse osteopenia .
    OUTPUT:
    
Right internal jugular catheter is not seen below the level of the upper SVC due to overlying cardiac pacemaker leads . An oblique or lateral view could be performed for further confirmation of placement , if needed .