FINDINGS:
Endotracheal and nasogastric tubes are in unchanged position.  A
 new right PICC line ends in the mid superior vena cava.  Overall appearance of
 the lungs is unchanged compared to the prior radiograph.  There is no focal
 opacity, pleural effusion or pneumothorax.  Aortic knob is calcified, and the
 cardiac and mediastinal contours are normal.  There is no acute osseous
 abnormality.  There is no free air beneath the right hemidiaphragm.

IMPRESSION:
New right internal jugular line ends in the mid superior vena
 cava.