Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single frontal upright view shows a right PICC in the brachiocephalic just at the origin of the superior vena cava . Mild cardiomegaly is unchanged . A small right pleural effusion has slightly increased since ___ . A 12 mm left lung nodule has been previously described on multiple prior radiographs . No pneumothorax .
    OUTPUT:
    
Right PICC ends in the brachiocephalic just at the origin of the superior vena cava . A 12 mm left lung nodule has been previously described on multiple prior radiographs . Evaluation with nonemergency CT is recommended , if not previously done .