FINDINGS:
Right internal jugular approach central venous catheter terminates in the mid
 superior vena cava.  No associated pneumothorax.  Heart size is normal. 
 Cardiomediastinal silhouette and hilar contours are unremarkable.  Several
 surgical clips project over the mediastinum.  Lungs are clear.  Pleural
 surfaces are clear without effusion or pneumothorax.

IMPRESSION:
Appropriate positioning of a right internal jugular approach central venous
 catheter without complication.  No acute cardiopulmonary abnormality.