Case: Lines & tubes radiograph #3219275
Lines & tubes Intermediate
Read this radiograph systematically before revealing the answer. What is the main abnormality?
Image: Pixman via Wikimedia Commons · CC BY-SA 3.0 · source · resized and converted to WebP
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Answer: Implanted venous access port (port-a-cath)
What to look for in implanted venous access port (port-a-cath)
- A dense reservoir in the subcutaneous tissue of the upper chest wall.
- A catheter runs from the reservoir into a central vein, with its tip ideally near the cavoatrial junction.
- Look for catheter fracture, disconnection or migration (pinch-off between clavicle and first rib).
Description by the image author (may be in another language): Röntgen Thorax mit Portkatheter bei Krebspatienten
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.
