Tunneled Port-a-Cath tip with azygos vein termination

Case contributed by Jayanth Keshavamurthy

Presentation

Breast cancer.

Patient Data

Age: 55 years
Gender: Female

Tunneled left internal jugular Port-a-Cath demonstrated with the catheter tip at the level of the SVC, 0.5 cm above the level of the carina.

Heart is borderline-enlarged. Central mediastinal structures are otherwise unremarkable.

Minimal right perihilar and left lingular subsegmental atelectasis demonstrated without acute cardiopulmonary disease, pneumothorax or pleural fluid.

Impression: uncomplicated tunneled catheter placement.
 

Tunneled left internal jugular vein chemotherapy Port-a-Cath tip terminates within the azygos vein.

Recommend repositioning.

Case Discussion

Know the risks of placing the Port-a-cath in the azygos vein, including azygos vein thrombosis, perforation, etc.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.