Chinese Medical Sciences Journal ›› 2017, Vol. 32 ›› Issue (4): 265-268.doi: 10.24920/J1001-9294.2017.038
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MR Lymphangiography for Focal Disruption of the Thoracic Duct in Chylothorax of an Infant: a Case Report and Literature Review△
Pan Haipeng1, 2, Lao Qun2, Fei Zhenghua3, Yang Li1, Zhou Haichun1, Lai Can1, *(
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- 1Department of Radiology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China;
2Department of Radiology, Hangzhou Children’s Hospital, Hangzhou 310014, China;
3Department of Radiology, Huzhou Maternity & Child Care Hospital, Huzhou, Zhejiang 313000, China;
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Received:2016-10-21Published:2017-12-30Online:2017-12-30 -
Contact:Lai Can E-mail:laican1000@163.com
Cite this article
Pan Haipeng, Lao Qun, Fei Zhenghua, Yang Li, Zhou Haichun, Lai Can. MR Lymphangiography for Focal Disruption of the Thoracic Duct in Chylothorax of an Infant: a Case Report and Literature Review△[J].Chinese Medical Sciences Journal, 2017, 32(4): 265-268.
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Figure 1.
Multiple planar reconstruction (MPR) images showing the thoracic duct. A. Reconstructed coronal image of the magnetic resonance cholangiopancreatography (MRCP). The thoracic duct (arrow) presented hyperintense signal with approximate diameter of 4 mm at the levels of the 9th and 10th thoracic vertebrae, whereas the remaining thoracic duct was slender, presented a faint hyperintense signal with a diameter less than 1 mm. B. Reconstructed coronal image of the 3D gradient recalled echo sequence (GRE). Part of the thoracic duct (arrow) presented a mildly hyperintense signal."
Figure 1.
Figure 2.
Post-contrast spectral presaturation inversion recovery (SPIR) T1-weighted axial images at levels from the 9th (A) to the 10th (B) thoracic vertebra. A. The azygos vein (arrow head) and the hemiazygos vein (short arrow) were presented clearly beside the thoracic vertebrae. The thoracic duct (dovetail arrow) located between the azygos vein (arrow head) and the aorta (straight line), presenting slightly high signal intensity, with a larger diameter than that of azygos vein. B. A strip of hyperintense signal (long arrow) extended from the thoracic duct (dovetail arrow) to the right pleural effusion at the level of the 10th thoracic vertebra, demonstrating the site of chyle leakage."
Figure 2.
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