Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate right PIC catheter tip projecting over mid to distal SVC , unchanged . Lungs are hyperexpanded with flattening of the hemidiaphragms , suggestive of underlying chronic obstructive pulmonary disease . There is no pleural effusion , focal consolidation or pneumothorax . Again noted a calcified lesion in the left upper lung with associated apical scarring , unchanged . Calcified mediastinal nodes are re-demonstrated . There is no pulmonary edema . Hilar and mediastinal silhouettes are unchanged . Heart size is normal . Partially imaged upper abdomen is unremarkable . A surgical clip in the right axilla is again noted .
    OUTPUT:
    
1 . Right PIC catheter tip projects over mid to distal SVC . 2 . No evidence of acute cardiopulmonary process .