Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right PICC line is again noted to be extending up into the right jugular system . No focal consolidation , pleural effusion or pneumothorax identified . The size of the cardiomediastinal silhouette is unchanged . Interval removal of the endotracheal and gastric tubes . Re - demonstrated is thoracic dextroscoliosis with a spinal rod .
    OUTPUT:
    
The tip of the right PICC line is again noted to be extending up into the right internal jugular vein . Interval removal of the endotracheal and gastric tubes .