Presentation
S/P PICC insertion for TPN.
Patient Data
Age: 50 years
Gender: Male
From the case:
Malpositioned PICC in the arch of the azygos vein
Frontal

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.