Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Supine portable chest view was reviewed in comparison with prior chest radiograph from ___ . The right - sided PICC line is unchanged in position with its tip terminating approximately at the level of the confluence of the brachiocephalic vein and can be treated as a central line . Pulmonary vascular congestion is unchanged . Moderate - to - large cardiomegaly , mediastinal and hilar contours are unchanged . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
The right PICC line tip ends approximately at the level of the confluence of the brachiocephalic vein and can be treated as a central line .