Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Right upper extremity access PICC line is again seen with its tip extending to the mid SVC region . Overlying EKG leads are present . The heart is top - normal in size . The lungs are clear bilaterally . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . Degenerative changes are partially visualized at the shoulders , right greater than left .
    OUTPUT:
    
Top - normal heart size . No signs of edema or pneumonia . PICC line positioned appropriately .