Right shoulder and chest XR showing prominence of the cephalad portion of the lateral end of the clavicle suggesting the presence of an old clavicular injury in this location. The acromioclavicular and glenohumeral joints are intact. No acute bone or joint space abnormality is demonstrated. A left-sided PICC catheter is present terminating near the atriocaval junction. No complication of catheter insertion is present. The heart size is normal. The mediastinum and hila are normal. No pleural abnormality is present. The lungs are clear.