Presentation
Undergoing chemotherapy. Portacath inserted weeks ago without complication, now not flushing. Right sided pleuritic chest pain.
Patient Data
Age: 50
Gender: Female
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Injection of radiographic contrast into portacath under fluoroscopic control
No blood aspirated. Resistance met with attempted contrast injection. Contrast passes via the catheter and enters an unknown (non-vascular) space
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Tip of the catheter is in the right pleural space anteriorly and the injected contrast (arrows) has entered the right pleural space medially associated with a small pleural effusion.