What is the expected position of RA lead?
Frontal CXR and CT lateral scout radiograph (as no lateral chest radiograph done).
There is a left chest wall 2-lead ICD (implantable cardioverter-defibrillator). The right ventricular (RV) ICD lead overlies the RV apex. The right atrial appendage lead appears to be dislodged. There is no prior for comparison. Normal pulmonary vasculature, no consolidation, pneumothorax or pleural effusion.
Cholecystectomy clips. Prior anterior cervical spine fusion hardware noted. There are calcifications overlying the right axilla.
Impression:
Recommend cardiology opinion for evaluation and position of the right atrial appendage lead and function.