PA Anatomy: Chest: Case 3

History:

89 year old female with Alzheimers, coming in for routine checkup, poor historian, has midline anterior chest scar and shortness of breath, neck tube and tube in her nose

Can you identify any of the support devices that are on this image? The enlarge button will blow up the upper mid portion of the image. What do you think of her heart? A normal PA chest radiograph is shown below.