Malpositioned PICC in the arch of the azygos vein

Case contributed by Daniel J Bell
Diagnosis certain


S/P PICC insertion for TPN.

Patient Data

Age: 50 years
Gender: Male

Right-sided PICC is malpositioned in the arch of the azygos. Lungs clear.

Case Discussion

Malpositioning of PICCs is unusual when image-guidance has been used. However this PICC was inserted 'blindly' on the ward.

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