IMPRESSION:
There is and right central line with tip in the SVC.  A right-sided PICC line
 is present in the tip is in the SVC right atrial junction.  There is no
 pneumothorax.  There are stable interstitial and alveolar densities
 bilaterally.  There is a left effusion which is unchanged.  There is
 cardiomegaly and CHF which are unchanged.  .