The patient had a pacemaker inserted 2 weeks prior. This was a difficult insertion, requiring internal suturing. After an uneventful recovery, the patient was using his arms and developed a sudden, increasingly painful swelling at the pacemaker sight which spread towards the left axilla.
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Increased opacity of the soft tissues around the pacemaker with soft tissue swelling over the left axilla.
There is the impression of volume loss at both apices with scarring and pleural thickening associated with a small cavity at the left apex. These are most likely post-inflammatory changes.