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: email@example.com.