X-ray
Frontal
Lateral
- Large right pleural effusion, likely malignant in nature, patient will likely benefit from thoracentesis and drainage catheter placement.
- Bilateral multiple metastatic lung nodules.
- With above history a radiologist should think out of the box for the rare complications following implanted venous catheter placement. Recommend a fluoroscopic study for evaluation of tip of implanted venous catheter as the tip on lateral view suggests it has an extrapleural course or it has perforated the SVC and has passed out into the mediastinum.