Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright AP chest radiograph shows left internal jugular tunneled hemodialysis catheter with the tip at the level of the right atrium . No new lung parenchymal consolidation or mediastinal change is seen . Small right pleural effusion may be present but the blunted lateral CP angle there is not different compared to ___ . Old healed proximal right humeral fracture .
    OUTPUT:
    
Expected appearances status post left tunneled hemodialysis catheter without findings to account for pain