Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC tip terminates in the mid SVC . Heart size is normal . The aorta remains tortuous with atherosclerotic calcifications noted at the arch . Pulmonary vasculature is not engorged . The lungs remain hyperinflated suggestive of COPD . Minimal scarring with pleural thickening is demonstrated within the right costophrenic angle . Slightly increased interstitial opacities in the lung bases as well as a vague opacity in the left lung base remain relatively unchanged , likely reflective of the sequela of chronic aspiration and bronchiectasis . There is no new focal consolidation , pleural effusion or pneumothorax . The osseous structures are diffusely demineralized .
    OUTPUT:
    
No significant interval change in the appearance of the chest from prior . PICC tip in the mid SVC .