Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Right PICC is seen with tip in the mid SVC . Left chest wall single lead pacing device is again seen . Cardiac silhouette is enlarged but stable . The lungs are clear of consolidation or effusion . Hypertrophic changes noted in the spine .
    OUTPUT:
    
Right PICC with tip in the mid SVC .