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Tc-99m Human Serum Albumin Lymphoscintigraphy With SPECT/CT in Chylothorax

Kayano, Daiki, MD, PhD; Taki, Junichi, MD, PhD; Wakabayashi, Hiroshi, MD; Kinuya, Seigo, MD, PhD

doi: 10.1097/RLU.0b013e31821a2ba3
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A 45-year-old man who had refractory right chylothorax after esophagectomy for esophageal cancer, underwent lymphoscintigraphy with Tc-99m human serum albumin. Focal abnormal uptake was seen in the mid-abdomen on planar image 30 minutes after the tracer injection. SPECT/CT delineated the extent of the accumulation between the anastomotic site and the right pleural effusion area. SPECT/CT effectively detected the site of lymphatic leakage.

From the Department of Nuclear Medicine, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan.

Received for publication February 4, 2011; revision accepted March 13, 2011.

Conflicts of interest and sources of funding: none declared.

Reprints: Daiki Kayano, MD, PhD, Department of Nuclear Medicine, Kanazawa University Hospital, 13–1 Takara-machi, Kanazawa, Ishikawa, 920–8641, Japan. E-mail:

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.