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Disseminated lymphangiomatosis presenting with massive chylothorax
1Department of Radiology, NEOUCOM Affiliated Hospitals, Aultman Hospital, 2600 6th Street SW, Canton, OH 44710, USA.
Background:
Lymphangiomatosis is a disease characterized by involvement of various body constituents and can involve the skeletal system, connective tissues, and visceral organs.
Materials And Methods:
We present a case of a 9-year-old girl where this entity presented with extensive right-sided chylothorax. Conventional imaging, including skeletal scintigraphy and contrast enhanced CT of the chest and abdomen, may have underestimated the extent of the disease, as seen on follow-up T2-weighted MR images of the chest and abdomen in our case.
Results:
MRI easily demonstrated additional bone lesions as well as multiple small splenic lesions, which were difficult to appreciate on prior CT examinations.
Conclusion:
We suggest that MRI may be helpful to assess the extent of this disease more accurately.