Interval surgical changes with multiple sternal suture wires and surgical clips in place, consistent with recent heart transplant surgery. Removal of the left anterior chest wall pacemaker noted, with residual wires overlying the left mid-chest. The patient is intubated, and the endotracheal tube is in a satisfactory position. Presence of a mediastinal drain. A small tubular structure is noted overlying the right cardiac border, with an uncertain location.
Pacemaker (Absent)