Infant with fever who had a PICC placed two months ago

CT of inferior vena cava thrombus caused by peripherally inserted central catheter / PICC
AXR AP obtained after PICC placement shows a left lower extremity PICC tip projecting near the bifurcation of the iliac veins. Axial CT with contrast of the abdomen obtained two months later shows a thin filling defect throughout the entire inferior vena cava which extended to the left iliac vein, seen as a round high density lesion in the medial aspect of the proximal inferior vena cava (above right) and as a round low density lesion centrally in the distal inferior vena cava (below right).

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The diagnosis was chronic thrombus of the inferior vena cava and left iliac vein secondary to PICC placement.