Teenager status post central catheter placement

CXR showing central venous catheter tip malpositioned in the right internal thoracic vein
CXR AP obtained immediately after catheter placement (above) shows the catheter tip malpositioned in the right internal thoracic vein. CXR AP obtained after repositioning (below) shows catheter tip appropriately positioned in the superior vena cava.

The diagnosis was malpositioned catheter tip after placement.