FINDINGS:
Right PICC terminates in mid SVC. Left pectoral pacemaker has its leads
 terminating in right atrium and right ventricle. Cardiac silhouette is mildly
 enlarged. Prosthetic heart valve and median sternotomy wires are in unchanged
 position. There is no consolidation, pleural effusion, or pneumothorax.

IMPRESSION:
Right PICC terminates in mid SVC. No radiographic evidence of pneumonia.