Chylopericardium Caused by Non-small Cell Lung Cancer: A Rare Complication of Superior Vena Cava Syndrome Kiminobu Tanizawa, Jiro Sakamoto, Seishu Hashimoto,

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Chylopericardium Caused by Non-small Cell Lung Cancer: A Rare Complication of Superior Vena Cava Syndrome Kiminobu Tanizawa, Jiro Sakamoto, Seishu Hashimoto, Takashi Misaki, Satoshi Noma, Yoichiro Kobashi, Yoshio Taguchi Journal of Thoracic Oncology Volume 5, Issue 8, Pages 1303-1304 (August 2010) DOI: 10.1097/JTO.0b013e3181db538d Copyright © 2010 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 A, Computed tomography (CT) of the chest on admission showing moderate amounts of pericardial effusion. B, Enhanced CT of the chest after drainage of pericardial effusion showing marked swelling of the pretrachial and subaortic lymph nodes. The superior vena cava is compressed by the swollen lymph node and is hardly visible. Collateral veins are also visible (black arrowhead). Journal of Thoracic Oncology 2010 5, 1303-1304DOI: (10.1097/JTO.0b013e3181db538d) Copyright © 2010 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 A, Pedal lymphatic scintigraphy with 99mTc human-serum albumin showing tracer accumulation in the mediastinal lymph nodes 1 hour after injection. B, This is more prominent 2½ hours after injection, suggesting a congestion in lymphatic flow. There is no accumulation in the pericardial sac. Journal of Thoracic Oncology 2010 5, 1303-1304DOI: (10.1097/JTO.0b013e3181db538d) Copyright © 2010 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 A, Chest radiograph on readmission showing cardiomegaly and bilateral pleural effusions. B, After corticosteroid therapy for 2 weeks, cardiomegaly is reduced and pleural effusions resolved. Journal of Thoracic Oncology 2010 5, 1303-1304DOI: (10.1097/JTO.0b013e3181db538d) Copyright © 2010 International Association for the Study of Lung Cancer Terms and Conditions