Permacath on chest x-ray

Case contributed by Dr Henry Knipe

Presentation

Multiple myeloma for treatment.

Patient Data

Age: 65
Gender: Female
Modality: X-ray

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. 

Modality: CT

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 centimetres distal to the other giving a staggered or step tip appearance. It is often used for haemodialysis. 

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Case Information

rID: 29921
Case created: 3rd Jul 2014
Last edited: 6th Sep 2015
System: Chest
Inclusion in quiz mode: Excluded

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