Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC is no longer visualized . Relative elevation of the right hemidiaphragm is unchanged . Calcific density projecting over the left anterior second rib could be a bone island versus calcified granuloma . The lungs are otherwise clear . There is no consolidation . There may be a small right pleural effusion with blunting of the posterior and lateral costophrenic angles . Cardiomediastinal silhouette is stable . Atherosclerotic calcifications are noted at the aortic arch .
    OUTPUT:
    
Possible small right pleural effusion . Otherwise , no acute cardiopulmonary process