Canon 40d + Canon 70-200/2.8L IS +2x extender

Identifiable buildings:

• Golden dome in foreground right from center - Church of Nativity of Theotokos in Old Simonovo. It stands on a hill and appears taller than it is.
• A (dull-coloured) belltower and a five-domed church in foreground center - the Church of Trinity in Kozhevhiki (actually it's one building). It is far larger but stands in the lowlands and appears quite small. en:Moskva River flows between churches of Nativity and Trinity in a general north-south direction (right-left in this foto).
• The large tower on the left is Swissotel Red Hills on the Garden Ring. It is part of Riverside Towers office block that spans some 4/5 of the photo width, including two midrise towers with pencil-shaped roofs. Behind one of these towers (on the same line as the Church of Nativity) is the flat dome of the en:Moscow International House of Music.
• The large tower with spires on the right (behind the House of Music dome) is the Kotelnicheskaya naberezhnaya building.
• A white highrise building behind its left shoulder (same line of sight as the Church of Nativity) stands way up north at 42, Schepkina Street and houses en:Russian Space Agency. The darker, lower office block immediately below marks the place where the Garden Ring spans en:Yauza River. These two buildings are at least three kilometers apart.
• The pale-and-white five-storey bldg. under the right shoulder of Kotelnicheskaya skyscraper (immediately right from the rightmost "pencil" towers) is the HQ of en:Russian Union of Industrialists and Entrepreneurs (it also stands on Kotelnicheskaya Embankment, see this photo taken at the same heading but far, far closer)
• The stalk in background left spanning all the height of the photo is Ostankino TV tower. Two construction cranes below it, most likely, work on the site of the new en:Moscow Cathedral Mosque, something like one of its minarets is seen between the crane and Swissotel tower.
• The flat contemporary building in background right is the Sklifosovsky Emergency Hospital (also north from Garden Ring).
• The flat contemporary building in bacground center is another hospital, further north on Schepkina Street in the same Meshchansky District.
• The church tower visible in front of it is the Menshikov tower (Church of Archangel Gavriil)