Downhill esophageal varices


The patient previously had a right-sided Port-A-Cath. The catheter had been removed for a clot or stenosis seen on CT neck a few months prior in a different hospital. This history is important as a radiologist sees the collaterals very often and would not call it a varix unless that history is provided in detail.

Downhill esophageal varix secondary to SVC stenosis after long-standing catheter placement like a Port-A-Cath or dialysis catheter is underreported by radiologists,