Vena Ray. The superior vena cava begins behind the lower border of the first right costal cartilage and descends vertically behind the first and second intercostal spaces to drain into the right atrium at the superior cavoatrial junction (at the level of the third costal cartilage) Its lower half is covered by the fibrous pericardium which it pierces at the level of the second costal.

Chest X Ray Normal Chest X Ray Interpretation Normal Anatomy On A Cxr Youtube vena ray
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A postprocedure chest Xray (CXR) though does not accurately assess the tip of the catheter in relation to the superior vena cava (SVC) and right atrium (RA) can detect malpositions safety of catheter tip pneumothorax and kinking We would like to share some of the malpositions we encountered in our centre their management and a brief review of the literature on optimal.

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Prominent right atrial and superior vena caval shadow

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Neither the SVC nor the pericardial reflection are visible on a chest Xray As the carina is a visible structure which is located above the level of the pericardial reflection it can be used as an anatomical landmark to help determine the level of a CVC tip within the SVC and above the pericardial reflection.