Presence of a right-sided permanent pacemaker with redundant pacing leads over the left chest wall. Moderate cardiomegaly and mild prominence of the central pulmonary vasculature are observed, without overt pulmonary edema. Minimal widening of the superior mediastinum is noted, which may be vascular in origin.
Cardiomegaly (Present) Superior mediastinal mass (Uncertain) Pulmonary congestion (Uncertain) Pacemaker (Present)