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- A 2.6 cm X 0.7 cm sized radio-opaque metallic capsule projects over the right ventricle (anteriorly on the lateral view), consistent with a Micra leadless intracardiac permanent pacemaker. The dense distal "dot" is the most characteristic finding to identify a leadless pacemaker (magnified image # 3) on plain radiography.
- Moderately severe cardiomegaly and atherosclerotic calcifications in the thoracic aorta.
- No focal pneumonia. Small left pleural effusion. No pneumothorax.
- No acute osseous findings. The upper abdomen appears normal.