Malpositioned PICC line
Sepsis. PICC line inserted for vascular access.
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Right sided PICC line, the tip of which is off the superior limit of the film having entered the right internal jugular vein and courses cranially.
Lungs clear. No pneumothorax.
The positions of lines and tubes should be reviewed first on interpreting the chest x-ray.
This PICC line tip has traverses into the internal jugular vein rather than its desired sight in the SVC.