School ager with a catheter that does not infuse and does not draw back

Line study of a central venous catheter port that was not correctly accessed
Image from a catheter injection (below) shows extravasation of contrast into the soft tissues of the chest wall adjacent to the tip of the needle. Closer review of the CXR scout (above) shows the tip of the needle being used to access the port is not within the port.

The diagnosis was the port was not correctly accessed.