Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC line terminates at the cavoatrial junction , as before . The cardiac , mediastinal and hilar contours appear unchanged . The aorta is tortuous . There is no pleural effusion or pneumothorax . A left upper apical granuloma appears unchanged .
    OUTPUT:
    
No evidence of acute disease .