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Peripherally, there are the azygos vein, retrograde filling of dilated inferior caval vein with paravertebral venous plexus, slight visualization of hepatic veins inflow, and no sign of pulmonary congestion and heart dilatation and normal filling of contrast media in the heart

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A doctor may suggest IV access through a bigger vein via a central line or peripherally inserted central catheter (PICC) line