Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the radiograph obtained ___ , the right subclavian line has been discontinued . In the interim , there has been placement of a tunneled right subclavian central line whose distal tip projects over the mid SVC . There is a significant kink in the catheter projecting just over the superior border of the right anterior second rib , which may be contributing to malfunctioning of the catheter ; however , this is not well visualized on the lateral projection which limits localization . There are no additional abnormalities noted in catheter . There is mild degenerative joint disease of the thoracic spine with multi - level osteophytes . The cardiomediastinal silhouettes are stable in appearance . The bilateral hila are normal . The previously seen left hemidiaphragm elevation is not seen on the current study . There are no focal lung consolidations . There is no evidence of pulmonary vascular congestion . There is no pneumothorax or effusion .
    OUTPUT:
    
New right tunneled subclavian central line with distal tip projecting over mid SVC , however with significant kink in the course of catheter . Otherwise no evidence of acute cardiopulmonary process .