The left upper extremity PICC line is in place with its distal tip approximately 1.8 cm distal to the cavoatrial junction. The right upper extremity PICC line, right internal jugular central venous catheter, left anterior chest wall AICD device, and LVAD show stable positioning.
LVAD (Present) PICC line (Present) Suboptimal central line (Present) Implantable defibrillator (Present)