Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the interval since the prior study the right internal jugular catheter has been withdrawn , the tip is now in the proximal to mid SVC . No pneumothorax seen . There is persistent hyperinflation of the lung but with bilateral pleural effusions versus scarring , larger on the right than the left . This is unchanged compared to the earlier study . There is associated atelectasis in the right middle and lower lobes . Compared to the preoperative study there is increased airspace opacity in the right upper lung . A clip is seen projecting over the calcified mitral valve annulus . Heart size is unchanged compared to the prior study , moderately enlarged .
    OUTPUT:
    
The right internal jugular catheter now terminates in the mid SVC .