Presentation
Esophagectomy for esophageal adenocarcinoma - complicated by persistent left chylothorax
Patient Data
Technique:
Planar imaging acquired 2 hours following intradermal administration of Tc-99m antimony colloid between the toes of the left foot (not shown). Then a delayed SPECT-CT was obtained (shown above).
Findings:
Abnormal accumulation of radiotracer in the mediastinum, immediately anteromedial to the descending thoracic aorta at the level of the right pulmonary artery. The radiotracer also accumulates in a left pleural loculated chylothorax (lateral to descending thoracic aorta).
Case Discussion
Tc-99m antimony colloid with SPECT/CT can be used to localize the site of a post-operative chyle leak, which can be helpful for surgical planning.
Acknowledgements:
Dr Dee Nandurkar
Unable to process the form. Check for errors and try again.