Malpositioned PICC line

Case contributed by Dr Ian Bickle

Presentation

Sepsis. PICC line inserted for vascular access.

Patient Data

Age: 65 years
Gender: Male
Modality: X-ray

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.

Case Discussion

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.

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Case Information

rID: 50351
Case created: 1st Jan 2017
Last edited: 7th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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