Male, 79 years old.Presenting with shortness of breath and chest pain, please rule out pneumothorax. The right central venous catheter via internal jugular line has become retracted in the subcutaneous tissues. It is unclear whether the tip is intravascular. Unchanged cardiomegaly. There may be a small left pleural effusion. Left lower lobe opacity appears worsened in comparison to prior examination. Other support devices are unchanged.
1. Right central venous catheter is coiled within the subcutaneous tissues. Recommend replacing the line. Even if the catheter flushes, would recommend not using for inotropic therapy.2. Worsening left lower lobe pulmonary opacity.