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Triple lead left-sided pacemaker with evidence for migration of the leads. The left ventricular lead projects over the right ventricle and the other 2 leads overly the superior vena cava and left brachiocephalic vein. The proximal wires are curled upon themselves and adjacent to the pulse generator/battery pack.
Lungs demonstrate no pneumothorax, consolidation, vascular congestion, or pleural effusion. The cardiac silhouette is not enlarged. The osseous structures are intact.