Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is in similar position . There is a left PICC in the left brachiocephalic vein , though the tip is not well seen . Low lung volumes are again seen without focal consolidation , pleural effusion or pulmonary edema . The heart continues to be enlarged . Multiple drains are in stable position .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Left PICC appears is in the brachiocephalic vein though the tip is not well seen . A repeat or oblique view may be helpful for further delineation .