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Diagnosis of Chylothorax with ¹³¹I-Triolein: Case Report

Arizona Medical Center and Tucson General Hospital, Tucson, Arizona

Correspondence: For reprints contact: James M. Woolfenden, Dept. of Radiology, University of Arizona, Arizona Medical Center, Tucson, AZ 85724.

ABSTRACT

Communication between the thoracic duct and the pleural space can be demonstrated after oral administration of radiolabeled triglycerides or fatty acids of suitable chain length. A case of chylothorax was confirmed in this manner using ¹³¹I-triolein. The technique may be most useful in cases where the chylous nature of a pleural effusion is not apparent on inspection of the pleural fluid.