A medical device (two metallic clips) is seen projecting over the cardiac shadow, likely in the region of the mitral valve. Cardiomegaly with hilar vascular congestion and interstitial pulmonary oedema. No sizeable pleural effusion/pneumothorax is seen. Generalised osteopenia is noted in the visualised skeleton. A wedge compression fracture of one of the mid-dorsal vertebrae is also noted.