FINDINGS:
Left pectoral pacemaker with leads overlying the right atrium and right
 ventricle.  Right PICC line terminates at least at the mid SVC and the tip is
 obscured by overlying pacer leads.  There is no pneumothorax.  Top normal
 cardiac size.  Normal hilar and mediastinal structures.  No pneumonia, no
 pulmonary edema. No pleural effusions.

IMPRESSION:
Right PICC line can be traced to the mid SVC, beyond that the line is obscured
 by overlying pacer leads.