Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left internal jugular central venous catheter with the tip terminating in the left brachiocephalic vein near the confluence with the SVC . The course of the line is unremarkable . No pneumothorax is detected . A right subclavian approach Port - A - Cath is unchanged in position with the tip terminating in the low SVC at the cavoatrial junction . Coiled tubing overlying the left hemithorax is consistent with the patient 's known shunt . An orogastric tube is seen coursing below the diaphragm and out of view on this image . A lateral spinal fusion device is again noted . The cardiomediastinal silhouette is incompletely evaluated due to poor patient positioning but overall appears unchanged from the most recent prior study . No large pleural effusion or focal consolidation concerning for pneumonia is detected .
    OUTPUT:
    
Left internal jugular central venous catheter with tip terminating in the left brachiocephalic vein . Recommend re-positioning . No pneumothorax .