Cardiomegaly and left-sided dual chamber pacemaker are present. A nasogastric (NG) tube is noted with its distal aspect near the gastroesophageal junction. A left ventricular assist device (LVAD) is faintly visualized at the left ventricular apex. A small left pleural effusion is also observed.
Simple pleural effusion (Present) Cardiomegaly (Present)