The right internal jugular sheath remains in place at the proximal superior vena cava following the removal of the Swan-Ganz catheter. Epicardial pacing wires are in situ post mitral valve replacement, with intact sternal wires. There is an enlarged cardiac silhouette, which may include a component of pericardial effusion.
Cardiomegaly (Present) Pericardial effusion (Uncertain)