Imaging Idiopathic Chylopericardium With 99mTc-SC Lymphoscintigraphy and SPECT/CT.

Abstract:

:A 27-year-old asymptomatic active duty military man underwent a screening chest x-ray secondary to a history of tuberculosis exposure. His chest x-ray showed no features of tuberculosis infection but unexpectedly revealed a markedly enlarged cardiac silhouette. Echocardiography demonstrated a large pericardial effusion without tamponade physiology. Pericardiocentesis revealed chylous fluid. The effusion was initially refractory to drainage requiring VATS for therapy. Lymphoscintigraphy was performed using Tc-SC to evaluate lymphatic anatomy and confirm communication with the pericardial space. Novel use was made of SPECT/CT with the hope of better assessing the nature of the abnormal communication and potentially helping guide management.

journal_name

Clin Nucl Med

authors

Atkinson C,Banks K

doi

10.1097/RLU.0000000000000944

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

e508-10

issue

11

eissn

0363-9762

issn

1536-0229

journal_volume

40

pub_type

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