Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left costophrenic angle is excluded from the field of view . Lungs are otherwise fully expanded and clear . No pleural abnormality . Heart size is top - normal . Cardiomediastinal and hilar silhouettes are unremarkable . A left pectoralis pacemaker with epicardial leads is noted . A right PICC terminates in the upper SVC . Median sternotomy wires are midline . The inferior - most median sternotomy wire is fractured , unchanged compared to ___ .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . 2 . A right PICC terminates in the upper SVC , more proximally than on ___ . If no interval PICC replacement , patient positioning or a thrombus attached to the PICC tip should be considered as etiologies .