The patient has a tracheostomy. Bilateral chest wall generators are connected to single thin wires which course anteriorly and enter the chest between the costal cartilages. The metallic tips are located in the lateral aspects of the superior mediastinum at the expected location of the phrenic nerves. These represent phrenic nerve stimulators.
Some retained secretions are present in the lower trachea.
The lungs are clear with no evidence of bronchiectasis or interstitial lung abnormality.
There is a moderate scoliosis of the thoracic spine concave to the left centred in the lower thoracic region with a compensatory component concave to the right centred in the cervicothoracic region.