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MR Lymphangiography for Postoperative Chylothorax

Imaging findings

Dynamic contrast-enhanced MR lymphangiography, performed after intranodal injection of gadolinium into an inguinal lymph node, demonstrates progressive filling of the retroperitoneal lymphatic channels, visualization of the cisterna chyli, and detailing of the thoracic duct pathway with contrast leaking into the pleural space.

Key takeaways

Dynamic contrast-enhanced MR lymphangiography is a powerful, minimally invasive technique for visualizing the central lymphatic system in pediatric patients with postoperative chylothorax. This technique allows precise localization of the cisterna chyli and thoracic duct, facilitating targeted percutaneous transabdominal access and subsequent embolization.

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