Identify all the hardware in this patient. Are they in appropriate positions?
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Right internal jugular central venous catheter, endotracheal tube, enteric tube, triple lead left chest AICD and Impella left ventricular assist device (LVAD) all project in appropriate locations.
ECG leads and defibrillator pads overlie the patient.
The coronary artery stent is overlying the proximal LAD.
The cardiopericardial silhouette and mediastinal structures are stable.
Lungs are equally expanded bilaterally and demonstrate grossly stable, pulmonary parenchymal findings compared to the prior chest radiograph.
No pleural effusion or pneumothorax.