School ager with a central venous catheter that will not flush

Central line injection showing a leaking port
Scout image (above) shows the tip of the central venous catheter in the superior vena cava. AP (below left) and oblique (below right) images obtained during contrast injection through the catheter show leakage of contrast outside of and all around its port into the subcutaneous tissues with no contrast entering the catheter.

The diagnosis was central venous catheter malfunction due to a leaking port.