Persistent enlargement of the cardiomedial silhouette. Presence of a dual lead pacemaker in the left hemithorax, sternotomy wires, mediastinal surgical clips, heavily calcified coronary arteries, and aortic valve prosthesis. No evidence of pulmonary edema or pleural effusion.
Simple pleural effusion (Absent) Cardiomegaly (Present) Edema (Absent) Pacemaker (Present)