Intranodal cone-beam computed tomographic lymphangiography with water-soluble iodinated contrast agent for evaluating chylothorax in infants – preliminary experience at a single institution

Dicken Wong, Kin Fen Kevin Fung, Hay-Son Robin Chen, Kin Sing Lun, Yee Ling Elaine Kan
Kwong Wah Hospital. Hong Kong Children’s Hospital.
Hong Kong

Pediatric Radiology
Pediatr Radiol 2023; 53: 179-183
DOI: 10.1007/s00247-022-05441-4

Abstract
This brief report demonstrates the diagnostic utility of cone-beam CT lymphangiography (CBCTL) with intranodal injection of water-soluble iodinated contrast agent for assessing lymphatic disorders in two infants who were contraindicated for MRI and oil-based contrast agent. Both infants had dextro-transposition of the great arteries (d-TGA) and presented with high-output chylothoraces that were recalcitrant to conservative medical therapy. Both infants were diagnosed with central lymphatic flow disorder based on the CBCTL findings.

Category
Pulmonary Lymphatic Disease
Diagnostic Testing for Pulmonary Vascular Disease. Non-invasive Testing

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No

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