FINDINGS:
A right PICC line ends in the right atrium.  Stable mild enlargement of the
 cardiac silhouette with left chest wall pacemaker with leads in expected
 position. No focal consolidation, pleural effusion or pneumothorax.

IMPRESSION:
Right PICC terminates  in the right atrium.
 
 RECOMMENDATION(S):  Recommend ~4cm retraction for a more optimal position in
 the low SVC.