Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is a left chest wall pacer device with leads extending into the region the right atrium and right ventricle as on prior . There is a right upper extremity access PICC line , new in the interval with its tip in the lower SVC . Sternal closure device with sternotomy wires are noted . Hardware is partially visualized in the lumbar spine . The lungs are clear . No focal consolidation , large effusion , or pneumothorax is seen . The cardiomediastinal silhouette is stable . Bony structures are intact .
    OUTPUT:
    
Appropriately positioned PICC line .