Presentation
Multiple myeloma for treatment.
Patient Data
Age: 65 years
Gender: Female
From the case:
Permacath (chest x-ray)
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Right internal jugular vein permacath with distal tip at the cavo-atrial junction. No pneumothorax. Well-defined but slightly lobulated opacity in the peripheral left lower zone.
From the case:
Permacath (chest x-ray)
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Comparison with prior CT confirms left lower zone lesion is an myelomatous deposit in the left anterior 6th rib.
Case Discussion
Permacaths (or permcaths) are a type of tunneled central venous catheter. It is a split catheter - this means that the two lumens have unequal lengths with one opening a few centimeters distal to the other giving a staggered or step tip appearance. It is often used for haemodialysis.