Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a left - sided PICC line with tip near the SVC / RA junction . No pneumothorax is detected . The heart is not enlarged . There is no CHF , focal infiltrate or effusion . Again seen is a rounded right paratracheal density immediately above the level of the at the level of the right second through fifth ribs .
    OUTPUT:
    
1 . PICC line tip there SVC / RA junction . 2 . No acute pulmonary process identified . 3 . Rounded right paratracheal density , not fully characterized . The differential includes but is not limited to ectatic vasculature . If clinically indicated , CT could help for further assessment .