We are having difficulty with the radiologist's report with several of our recently placed PICC's. We order a portable chest x-ray after we are completely finished with the procedure. On what seems like many occasionsÂ the radilologist will read the x-ray with the tip in the subclavian vein when we know it has to be lower than that. They do not recommend anotherÂ film just advance the PICC 5-10 cms (based on where they think it is).We haveÂ explained that our PICC's are trimmed and can not be advanced.At least 4 times we have monitored a pt. that the initial report was tip in the proximal svc or higher and the next day when the pt goes to the department for the film they read it in the distal svc.Â If we suggest or order the pt to go to the department for an x-ray the radiologist seems to become quite offended. One radiologeist has suggesed that we iinject dye and repeat the x-ray. Do you have any suggestionsÂ that can help us in having better films or talking with our radiologists? None of them place PICCs-only RN's at the bedside.