Vascath in azygos vein
Vascath inserted for dialysis
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The Vas-Cath has an unusual location/course in keeping with the tip having passed through the arch of the azygos, and lying in the superior part of the azygos vein. This can be confirmed with a lateral projection but is almost certainly the case.
A case such as this highlights the need to have a firm grasp of anatomy, as it would otherwise be relatively easy to not realize the location of the vascath.