Presence of a dual lead left hemithorax automatic implantable cardioverter-defibrillator (AICD) in place. Cardiomegaly appears unchanged from prior imaging. Lung volumes are low. There is a persistent retrocardiac opacity with associated left-sided pleural effusion.
Simple pleural effusion (Present) Cardiomegaly (Present) Implantable defibrillator (Present)