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Chylothorax
Claudio Silva, MD, MSc, MBA
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Chylous pleural effusion
              • Definitions

                • Extravasation of chyle into pleural space

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Angiographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Cholet C et al: Nontraumatic chylothorax: nonenhanced MR lymphography. Radiographics. 40(6):1554-73, 2020
                                          2. Gilyard SN et al: Traumatic chylothorax: approach and outcomes. Semin Intervent Radiol. 37(3):263-8, 2020
                                          3. Novelli PM et al: Interventional therapies for thoracic duct injury and intractable chylothorax. J Thorac Imaging. 34(4):258-65, 2019
                                          4. Riley LE et al: Clinical approach and review of causes of a chylothorax. Respir Med. 157:7-13, 2019
                                          5. Expert Panel on Vascular Imaging and Interventional Radiology:. et al: ACR Appropriateness Criteria® Chylothorax Treatment Planning. J Am Coll Radiol. 14(5S):S118-26, 2017
                                          6. Nadolski G: Nontraumatic chylothorax: diagnostic algorithm and treatment options. Tech Vasc Interv Radiol. 19(4):286-90, 2016
                                          7. Huggins JT: Chylothorax and cholesterol pleural effusion. Semin Respir Crit Care Med. 31(6):743-50, 2010
                                          8. McGrath EE et al: Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 104(1):1-8, 2010
                                          9. Skouras V et al: Chylothorax: diagnostic approach. Curr Opin Pulm Med. 16(4):387-93, 2010
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Chylous pleural effusion
                                                      • Definitions

                                                        • Extravasation of chyle into pleural space

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Angiographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Cholet C et al: Nontraumatic chylothorax: nonenhanced MR lymphography. Radiographics. 40(6):1554-73, 2020
                                                                                  2. Gilyard SN et al: Traumatic chylothorax: approach and outcomes. Semin Intervent Radiol. 37(3):263-8, 2020
                                                                                  3. Novelli PM et al: Interventional therapies for thoracic duct injury and intractable chylothorax. J Thorac Imaging. 34(4):258-65, 2019
                                                                                  4. Riley LE et al: Clinical approach and review of causes of a chylothorax. Respir Med. 157:7-13, 2019
                                                                                  5. Expert Panel on Vascular Imaging and Interventional Radiology:. et al: ACR Appropriateness Criteria® Chylothorax Treatment Planning. J Am Coll Radiol. 14(5S):S118-26, 2017
                                                                                  6. Nadolski G: Nontraumatic chylothorax: diagnostic algorithm and treatment options. Tech Vasc Interv Radiol. 19(4):286-90, 2016
                                                                                  7. Huggins JT: Chylothorax and cholesterol pleural effusion. Semin Respir Crit Care Med. 31(6):743-50, 2010
                                                                                  8. McGrath EE et al: Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 104(1):1-8, 2010
                                                                                  9. Skouras V et al: Chylothorax: diagnostic approach. Curr Opin Pulm Med. 16(4):387-93, 2010