School ager with ventriculoperitoneal shunt in clinic for routine followup

AXR of VP shunt migration from abdomen to chest
AXR taken 1 year ago (left) shows the VP shunt to be radiographically intact and its tip is coiled in the pelvis. AXR taken today (right) shows the VP shunt migrated out of the abdomen into the left chest and its tip is in the left costrophrenic angle.

The diagnosis was ventriculoperitoneal shunt malfunction due to shunt tip migration into the chest.