The misplaced right central venous catheter passes through the right internal jugular vein, enters the right subclavian artery and courses through the brachiocephalic trunk into the aortic arch. The tip lies within the ascending aorta, just above the aortic valve. No pericardial effusion.
The right and left common and internal carotid arteries opacify normally. There is a moderate short segment plaque of the proximal internal carotid arteries bilaterally. No carotid occlusion. The circle of Willis and major branches opacify normally. Normal opacification of the vertebral arteries.
ETT in situ. Apical pleural parenchymal scarring is noted. There are some small subpleural opacities within the upper lobes bilaterally.