Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC is much more clearly visualized on this examination . The tip appears to terminate in the right atrium 7 cm caudal to the carina . The remainder of the exam is unchanged with redemonstration of bibasilar atelectasis and small bilateral effusions .
    OUTPUT:
    
Right PICC terminating in the right atrium . If positioning of the tip in the lower SVC is desired , catheter must be pulled back by 4 cm . Preliminary results were conveyed to ___ of the IV team over the telephone by Dr . ___ at 3 :40 p .m . on ___ at the time of initial review . Final results indicating necessity to pull back of a total of 4 cm was conveyed over the telephone to ___ by Dr . ___ at 4 :31 p .m . on ___ at time of attending readout .