dual chamber cardiac pacemaker with left subclavian access in situ
dislodgement and retraction of the non-fragmented right ventricular pacemaker lead which appears coiled around the implantable pulse generator with an additional loop directly with the tip in projection of the mid-clavicular line in the left subclavian/axillary vein
the right atrial pacemaker lead appears in place
enlarged cardiac silhouette and prominent pulmonary vasculature indicating congestion