CT - CT chest
Axial C+ arterial phase
Coronal C+ arterial phase
Axial lung window
Sagittal C+ arterial phase
The right ventricular pacing lead has migrated distally, passing through the right ventricular wall at the cardiac apex. It passes through the pericardium to abut the left hemidiaphragm anteriorly.
There is no pericardiac effusion and no pneumothorax or pneumomediastinum.