Presence of a dual lead AICD, nasogastric tube with tip off the inferior margin of the radiograph, endotracheal tube with tip in mid trachea, and right upper extremity PICC with tip obscured by the AICD lead but visualized to the mid SVC. The right atrial AICD lead is more medial in location than expected. Overlying AICD limits evaluation of the left upper lung zone.
No Finding