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Images in Thorax
Transposition of the great indwelling pleural catheter
  1. Eihab O Bedawi1,2,
  2. Radhika Banka1,3,
  3. Fergus V Gleeson4,
  4. Najib M Rahman1,2,
  5. John M Wrightson1
  1. 1 Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2 NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK
  3. 3 Department of Respiratory Medicine, P.D. Hinduja National Hospital & Medical Research Centre, Mumbai, India
  4. 4 Departments of Radiology and Nuclear Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  1. Correspondence to Dr Eihab O Bedawi, Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK; eihab.bedawi{at}ouh.nhs.uk

https://doi.org/10.1136/thoraxjnl-2021-217956

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    A 70-year-old male with sarcomatoid renal carcinoma presented to his general practitioner with worsening breathlessness. He was referred to the radiology department for a radiograph of the chest, which showed recurrence of a known right malignant pleural effusion (MPE) (figure 1A). After 4 days, he underwent an uncomplicated right indwelling pleural catheter (IPC) insertion and drainage. The postprocedure radiograph of the chest (figure 1B) showed improved appearances of the right MPE and a new small left pleural effusion that had been seen on the preprocedure ultrasound and likely progressed since his presenting radiograph. The radiographer’s report raised concerns that the right IPC tip …

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    Footnotes

    • Twitter @BedawiEihab

    • Contributors EOB and JMW conceived the report and compiled the images. EOB drafted the report. All authors were involved in the management and discussion of the patient’s case and provided input, reviewed and approved the final report. EOB and JMW are responsible for the overall content and act as guarantors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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