Interval placement of left upper extremity PICC line with the distal tip positioned 3.5 cm below the level of the carina, likely at the cavoatrial junction. Presence of right subclavian dual lumen central venous catheter and left subclavian central venous catheter. Unchanged position of the tracheostomy tube. Aortic valve and sternotomy wires are visualized, consistent with the patient's surgical history.
No Finding