• J Vasc Interv Radiol · Jul 2019

    Case Reports

    Dynamic Contrast-Enhanced Magnetic Resonance Lymphangiography and Percutaneous Lymphatic Embolization for the Diagnosis and Treatment of Recurrent Chyloptysis.

    • Chick Jeffrey Forris Beecham JFB Department of Radiology, Division of Interventional Radiology, Hospital of the University of Pennsylvania, 1 Silverstein 3400 Spruce Stre, Gregory J Nadolski, Anthony R Lanfranco, Andrew Haas, and Maxim Itkin.
    • Department of Radiology, Division of Interventional Radiology, Hospital of the University of Pennsylvania, 1 Silverstein 3400 Spruce Street, Philadelphia, PA 19104; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Medical Center, Ann Arbor, Michigan. Electronic address: jeffreychick@gmail.com.
    • J Vasc Interv Radiol. 2019 Jul 1; 30 (7): 1135-1139.

    AbstractChyloptysis, or the expectoration of triglyceride-rich sputum, is rare and typically treated with diet modification and thoracic duct ligation. This article describes 2 patients with prolonged histories of chyloptysis who failed conservative treatment and thoracic duct ligation. Dynamic contrast-enhanced magnetic resonance imaging delineated the lymphatic anatomy and identified the abnormal pulmonary lymphatic perfusion pathways in both patients. This imaging provided guidance for successful percutaneous lymphatic embolization which resulted in resolution of symptoms in both patients.Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved.

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