Stable appearance of right anterior chest wall dual-lead pacer and disconnected left pacer wires. Unchanged prosthetic aortic valve and surgical clips, likely from previous coronary artery bypass grafting. Cardiac silhouette is slightly enlarged, without change. Descending aorta is tortuous or ectatic, unchanged. Lungs are clear with no evidence of infiltrates or pleural effusion.
Tortuous Aorta (Present) Cardiomegaly (Present)