Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC line terminates at the confluence of the brachiocephalic vein / proximal SVC . The tip however is difficult to visualized . There is elevation of the right hemidiaphragm . The cardiac silhouette is enlarged . There is no pneumothorax .
    OUTPUT:
    
Right - sided PICC line likely terminates at the confluence of the brachiocephalic vein / proximal SVC , however the tip is not definitely identified on this portable examination . PA and lateral chest radiographs may be helpful for further delineation . D / w ___ by ___ via telephone on ___ at 04 :27