Primary Chylopericardium Toshiko Kannagi, M.D., Genta Osakada, M.D., Akira Wakabayashi, M.D., Chuichi Kawai, M.D., F.C.C.P., Mitsuhiko Matsuda, M.D., Shigehito Miki, M.D.  CHEST  Volume 81, Issue 1, Pages 105-108 (January 1982) DOI: 10.1378/chest.81.1.105 Copyright © 1982 The American College of Chest Physicians Terms and Conditions

Figure 1 Chest x-ray film on admission shows marked cardiac enlargement (cardiothoracic ratio, 0.77) and increased pulmonary markings. CHEST 1982 81, 105-108DOI: (10.1378/chest.81.1.105) Copyright © 1982 The American College of Chest Physicians Terms and Conditions

Figure 2 Preoperative lymphangiogram immediately after injection of 8.5 ml of contrast medium into both feet with patient in supine position. Right anterior oblique view shows dilated thoracic duct with obstruction at level of carina, which later proved to be right thoracic duct. Ectatic lymphatic vessels in posterior mediastinum and peribronchial small lymphatic vessels are seen. No accumulation of contrast medium is seen in pericardial sac. CHEST 1982 81, 105-108DOI: (10.1378/chest.81.1.105) Copyright © 1982 The American College of Chest Physicians Terms and Conditions

Figure 3 Lymphangiogram after first operation, taken immediately after injection of 7.5 ml of contrast medium into both feet with patient in lateral position. Accessory duct with stasis is seen at level of the seventh to eighth thoracic vertebrae. It is on left side of thoracic spine on anteroposterior film and is thought to be left thoracic duct. Peribronchial small lymphatic vessels are also seen. CHEST 1982 81, 105-108DOI: (10.1378/chest.81.1.105) Copyright © 1982 The American College of Chest Physicians Terms and Conditions