Distal end of the Swan Ganz catheter in the middle lobe, medial segment, with intraparenchematous trajectory, perforating the middle lobe artery. Acute contrast extravasation visible in the right basal and middle lobes, compatible with active hemorrhage 1,2.
Bilateral pleural effusion. Peacemaker in situ and sternal post-surgery changes
3D heart reconstruction shows the catheter in white, perforating the middle lobe artery, with the distal end next to the right atrium.