Premature newborn after peripherally inserted central catheter placement

CXR of pediatric PICC line tip in a left-sided superior vena cava
CXR AP shows the tip of the left upper extremity PICC line projecting over the heart and to the left of the spine.

The diagnosis was peripherally inserted central catheter malfunction with the tip of the PICC line in a persistent left superior vena cava which was confirmed on an ultrasound exam.