CTICasesMisplaced Central Line into Pleural Space
Imaging findings
Chest radiograph shows a misplaced right subclavian central line that courses medially and too high (above the clavicle). Follow-up CT confirms the catheter is located within the right pleural space, associated with a unilateral pleural effusion.
Key takeaways
Misplaced central venous catheters can enter the pleural space. Sagittal reconstructions or CT scans are helpful to verify the exact location of abnormal catheter courses, and unilateral effusions after placement should raise suspicion for intrapleural infusion.
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