Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No prior . Right - sided PICC line is seen with tip at the cavoatrial junction . The lungs are clear of focal consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Postoperative changes of lower cervical and upper thoracic anterior spinal fixation are seen .
    OUTPUT:
    
No acute cardiopulmonary process . Please note that MRI would be modality of choice to evaluate for epidural process .