School ager who just had an old left central venous catheter removed and a new right central venous catheter placed

CXR of retained central venous catheter fragment
CXR AP shows the tip of the new right central venous catheter to be in the superior vena cava. Also seen is a short piece of catheter in the left brachiocephalic vein.

The diagnosis was central venous catheter malfunction with a retained fragment of the removed left central venous catheter in the left brachiocephalic vein.