Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated and clear . There is no pleural effusion . There is cardiomegaly as before . Unfolding of the thoracic aorta is present . Diffuse demineralization and bilateral acromioclavicular arthropathy noted . Multilevel degenerative changes of the thoracic spine are present . The right - sided PICC is no longer present at the cavoatrial junction and appears to have shifted proximally with tip terminating , likely in the right subclavian vein .
    OUTPUT:
    
1 . Well inflated clear lungs . No pneumonia . 2 . Right PICC no longer terminates at the cavoatrial junction , has shifted proximally with tip terminating , likely in the right subclavian vein .