Journal
CLINICAL NUCLEAR MEDICINE
Volume 47, Issue 1, Pages E59-E60Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RLU.0000000000003708
Keywords
chylothorax; Tc-99m-nanocolloid; lymphoscintigraphy; SPECT/CT
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We report a pediatric case of T-cell lymphoblastic leukemia with persistent chylothorax who underwent lymphoscintigraphy to identify the site of leakage. Planar lymphoscintigraphy with SPECT/CT revealed hot spots at the left jugulovenous angle and the confluens of the vena brachiocephalica to vena cava, which were consistent with the sites of leakage. Hybrid imaging with SPECT/CT technique has a significant impact on accurately detecting lymphatic system defects in patients with chylothorax.
We present a pediatric case with T-cell lymphoblastic leukemia and persistent chylothorax who was referred to lymphoscintigraphy to identify the site of leakage. Planar lymphoscintigraphy with SPECT/CT revealed hot spots at the left jugulovenous angle and the confluens of the vena brachiocephalica to vena cava, which were compatible with the sites of leakage. Hybrid imaging with SPECT/CT technique have great impact on accurate detection of the defects in the lymphatic system in patients with chylothorax.
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