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Chylothorax: In depth anatomy and imaging
Schwarz T.
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A variety of disease processes can cause an impairment of the thoracic lymphatic drainage and subsequent chylous pleural effusion. Most commonly the condition is idiopathic in dogs and cats. A detailed understanding of the anatomy of the lymphatic system and mediastinum is a prerequisite for successful surgical correction. Diagnostic imaging in cases of chylothorax is mainly used to diagnose or rule-out non-idiopathic forms of chylothorax. However, using specific lymphangiographic studies the exact anatomy of the thoracic duct can also be demonstrated. This information can be used for ligation procedures of the thoracic duct.
This presentation will highlight the anatomic details of the thoracic duct and thoracic cavity in the dog and cat and imaging modalities and contrast procedures to elucidate the anatomy, with an emphasis on computed tomography. The imaging findings of different disease processes associated with chylothorax will be discussed.
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