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Flipped subcutaneous port

Imaging findings

Chest radiograph shows inversion of a triangular PowerPort port, with the alphanumeric 'CT' lettering presenting as a mirror image, indicating that the port has flipped over under the skin.

Key takeaways

Subcutaneous ports can flip over within a large or loose subcutaneous pocket. Flipped ports cannot be accessed normally because the needle hits the metallic backing rather than the septum. Recognizing mirror-image orientation of radio-opaque port letters indicates port inversion.

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