From the case:
Transcatheter aortic valve replacement
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Best seen on the lateral film is a transcatheter aortic valve replacement (TAVR) also known as a transcatheter aortic valve implantation (TAVI)
Dual-lead left-sided pacing device in situ.The lungs show changes consistent with COAD. Ill-defined opacity isdemonstrated in both lower zones represents overlying soft tissues superimposed on ribs and pulmonary parenchyma.
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