What DO You Think Here? ...similar Medical conclusion...?
I previous reported a Port-a-cath flush and a 'swoshing sound' thereat to the attending doctor with agony under the axilla at the nouns.
2 more CT scans of the chest/abdomen/thorax + lead were repeated to cooroborate the findings first done surrounded by hospital. A PET scan also ordered of same.
Findings of CT Chest:
The lungs are clear. The central tracheobronchial tree is clear. The mediastinum is unremarkable. No mass or lymphadenopathy is see. ** The heart demonstrates minimal circum-ferential pericardial thickening. The vascular structures of the mediastinum are regular. The axillary, subpectoral and supraclavicular spaces are symmertrical and unremarkable. Internal mammary chain is clear. in that is a right upper chest Porta-cath with the tip going from the right brachio-cephalic veinup into the departed brachiocephalic vein. The tip is not surrounded by the superior vena cava at this time.
CT ABDOMEN: Liver and spleen are normal surrounded by size and density. stomach is unremarkable. The pancreas is normal. The gallbladder, biliary tree, adrenal glands and kidneys are adjectives unremarkable. the aorta is of normal caliber. No retroperitonal lymphadenopathy. The bowel is typical.
CT PELVIS: The uterus and adneza are unremarkable. The appendix is normal.
In lingo of the porta-cathe placement, could this have be the problem of my headache and fever?
Could the misplacement thereof hold caused the *small(?), circumferential pericardial thicken, due to 'leakage' of chemo medication into the medianastinum?
My chest currently pains upon exertion now beside shortness of breath....Heart problem?
What do you think?
Answers: Nope. The catheter tip is still inside the capillary.
Look at this picture:
http://content.answers.com/main/content/...
See the vein coming within at the left side of the drawing? Instead of going down into the superior vena cava, your catheter have flipped up and goes straight across. The vein in the picture are labeled right and gone innominate instead of brachiocehalic - same thing.
That's something that happen after the Porta-cath was put within. They use fluoroscopy to put the catheter in the right place when they put it surrounded by, but your movement over time probably caused it to move. It's still within the central circulation, and should be fine.
If they put the catheter farther surrounded by, it could go down into the heart and explanation arrythmias, so you don't want it much farther in than it be placed.
Sounds more like an infection of the catheter. It may entail to be removed. Keep the doctors informed of your progress (or lack thereof).
Shortness of breath? Are you clich¨¦ you are feeling oxygen deprived or have trouble taking full breaths. Limitation to incomplete breaths would diminish oxygen intake, oxygen deprivation. Thorax muscle tension due to muscular toxication (i.e. sore breathing muscles). Does your porta-cath gain smacked around alot? That and localized infection (as mentioned above by Pangolin).
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