Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC tip is likely in the right internal mammary vein . Sternotomy wires are intact and a new radiopaque opacity projects over the right mid lung . Subtle increase in right upper lobe heterogeneous ill - defined opacity may represent evolving right upper lobe pneumonia . Mild vascular congestion with top normal heart size , stable small left pleural effusion and no mediastinal vein dilatation or pulmonary edema . No pneumothorax .
    OUTPUT:
    
1 . Right PICC tip is likely in the right internal mammary vein . 2 . Possible early developing right upper lobe pneumonia . 3 . Stable mild vascular congestion and small left pleural effusion . Results were conveyed via telephone by Dr .___ to Dr .___ on ___ at 4 :20 PM within 15 minutes of observation of findings .