FINDINGS:
Left PICC makes an abrupt turn at the right tracheobronchial angle
 suggestive of extension into the azygos vein.  This finding was communicated
 by Dr.  to nurse  by telephone at 1: p.m. at the time of
 discovery.  Interval widening of vascular pedicle is accompanied by pulmonary
 vascular congestion and interstitial edema.  Otherwise, no relevant short
 interval changes since recent radiograph.