Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right venous access catheter terminates in the mid-to - low SVC , unchanged since at least ___ . The catheter demonstrates a smooth course with no kinks . The cardiomediastinal and hilar contours are within normal limits . The lungs are clear . There are no new focal consolidations , pleural effusions or pneumothoraces . The right first rib is hypoplastic .
    OUTPUT:
    
Right central venous access catheter terminates in the mid-to - lower SVC , unchanged position since at least ___ .