of thoracic duct/tributaries Cholesterol Chronic pleural
inflammation thickened/calcified pleural surfaces Case 2
HB, 55 y/o M Pertinent History 55 y/o M w/ h/o DM presents to ED w/ R thigh pain
Work-Up T 100.6 BP 130/87 P 115 Focal erythema & edema w/ TTP
WBC 40 Radiograph T2 MR
T1 MR Gradient-Echo
Differential Diagnosis Cellulitis Gas gangrene Fasciotomy w/ Surgical Debridement
References Ali, S. Z., Srinivasan, S., & Peh, W. C. G. (2014). MRI in necrotizing fasciitis of the extremities. The British Journal of Radiology, 87(1033), 20130560. http://doi.org/10.1259/bjr.20130560
Fahimi H, Casselman FP, Mariani MA, et al. Current management of postoperative chylothorax. Ann Thorac Surg 2001; 71:448. Kuhlman JE, Singha NK. Complex disease of the pleural space: radiographic and CT evaluation. RadioGraphics 1997; 17:63-79. Le Pimpec-Barthes F, D'Attellis N, Dujon A, et al. Chylothorax complicating pulmonary
resection. Ann Thorac Surg 2002; 73:1714. Vallires E, Karmy-Jones R, Wood DE. Early complications: chylothorax. Chest Surg Clin N Am 1999; 9:609-616. Medline Martucci N, Tracey M, Rocco G. Postoperative Chylothorax. Thorac Surg Clin 2015; 25 :523.
Shimizu K, Yoshida J, Nishimura M, et al. Treatment strategy for chylothorax after pulmonary r esection and lymph node dissection for lung cancer. J Thorac Cardiovasc Surg 2002; 1 24:499. Zabeck H, Muley T, Dienemann H, Hoffmann H. Management of chylothorax in adults
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