Case: Lines & tubes radiograph #102390485
Lines & tubes Intermediate
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: Hellerhoff via Wikimedia Commons · CC BY-SA 4.0 · source · resized and converted to WebP
Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Dialysis catheter
What to look for in dialysis catheter
- A wide-bore, often double-lumen catheter, usually via the right internal jugular vein.
- The tip typically lies at the cavoatrial junction or in the upper right atrium.
- Thicker than a standard central line.
Description by the image author (may be in another language): Demerskatheter von rechts mit der Spitze regelrecht auf den rechten Vorhof projiziert. ZVK von links etwas knapp in V. brachiocephalica sinistra.
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.


