Here's one for those who like interesting PICC xrays. Pt was 2 days P/O after an aortic aneurysm repair. Radiologist's call was "line curls in the SVC--you need to pull back 15cm to straighten it out and get another film". I wanted to advance 3cm and call it good but he wouldn't budge. See 'loopy1' xray.
Here's what happened. The PICC tip terminates right at the level of the tele lead. The loopy line is a mediastinal drain whose tip is at the same level,just 2 or 3mm away on the film. You really have to look close but once youÂ figure out which line is which it makes sense. Â We moved the wires,tilted the pt about 5 degrees left and re-shot. See loopy2.