PMC3350038_01
(a) The PA chest X-ray demonstrates the catheter fragment superimposed upon the mediastinum with portions of the catheter seen in both hilar regions (arrows). The arm port and the residual catheter are seen in the arm, cranial to the antecubital fossa, on the margin of the image. (b) The lateral chest X-ray demonstrates the catheter fragment superimposed upon the mediastinum (arrow).
CRIM.RADIOLOGY2011-763284.001.jpg
PMC3350038_01_CRIM.RADIOLOGY2011-763284.001.jpg
fig1
The chest X-ray images (Figures 1(a) and 1(b)) demonstrated a small caliber catheter superimposed on the middle mediastinum with portions of the catheter in the expected location of the main pulmonary arteries bilaterally.
Contrast has been injected into the port. A small amount of contrast is seen to extravasate at the end of the residual catheter situated at the arm vein entry site (arrow). The contrast then flows freely into the patent, residual, fibrin sheath in the basilic vein related to the embolized catheter.
CRIM.RADIOLOGY2011-763284.002.jpg
PMC3350038_01_CRIM.RADIOLOGY2011-763284.002.jpg
fig2
In addition, there was a very small amount of extravasated contrast agent at the vein entry site. (Figure 2) The old port and residual catheter were removed, and a new Cook port was implanted to facilitate her ongoing chemotherapy.