FINDINGS:
There has been interval placement of a right internal jugular central venous
 catheter with tip at the junction of the SVC and right atrium. No pneumothorax
 is clearly identified. Remainder of the exam is unchanged with persistent
 layering right pleural effusion, bibasilar atelectasis, and mild pulmonary
 vascular congestion.  Endotracheal and enteric tubes remain in unchanged
 positions.

IMPRESSION:
Right internal jugular central venous catheter tip at the junction of the SVC
 and right atrium.