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Chylothorax
Diane C. Strollo, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Chylothorax (CTx)
            • Synonyms

              • Chylous pleural effusion
            • Definitions

              • Presence of chyle in pleural space
              • Disruption or obstruction of thoracic duct (TD) or its tributaries
              • Lymphocytic exudative pleural effusion
                • Triglyceride concentration > 110 mg/dL
                • Pleural fluid chylomicrons confirm diagnosis
                • Noninflammatory etiology of pleural effusion

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      • Angiographic Findings

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Huggins JT: Chylothorax and cholesterol pleural effusion. Semin Respir Crit Care Med. 31(6):743-50, 2010
                                      2. McGrath EE et al: Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 104(1):1-8, 2010
                                      3. 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

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Chylothorax (CTx)
                                                • Synonyms

                                                  • Chylous pleural effusion
                                                • Definitions

                                                  • Presence of chyle in pleural space
                                                  • Disruption or obstruction of thoracic duct (TD) or its tributaries
                                                  • Lymphocytic exudative pleural effusion
                                                    • Triglyceride concentration > 110 mg/dL
                                                    • Pleural fluid chylomicrons confirm diagnosis
                                                    • Noninflammatory etiology of pleural effusion

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          • Angiographic Findings

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Huggins JT: Chylothorax and cholesterol pleural effusion. Semin Respir Crit Care Med. 31(6):743-50, 2010
                                                                          2. McGrath EE et al: Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 104(1):1-8, 2010
                                                                          3. Skouras V et al: Chylothorax: diagnostic approach. Curr Opin Pulm Med. 16(4):387-93, 2010