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Triple lead left-sided pacemaker with evidence for migration of the leads. The left ventricular lead projects over the right ventricle and the other two leads overly the superior vena cava and left brachiocephalic vein. The proximal wires are curled upon themselves and adjacent to the pulse generator/battery pack.
Lungs demonstrate no pneumothorax, consolidation, vascular congestion, or pleural effusion. The cardiac silhouette is not enlarged. The osseous structures are intact.