1 Lymphatic System: Green-superficial Black- deep

2 RT AND LT LYMPH DRAINAGE

3 LYMPH DRAINAGE

4 Lymphography General term applied to the radiologic examination of: – Lymph nodes – Lymph Vessels Usually done to demonstrate pelvis and abdomen – Injected in foot For axillary, clavicular area and upper limbs – Injected in hand Checks drainage of lymph nodes

5 Pre Procedure Obtain PT history Obtain PT consent Make sure to have all supplies Positioning aides and comfort supplies

6 Procedure Inject blue dye under skin in between toes Inject small amount of contrast into the lymph vessels – Show blue tint Nodes in pelvis and abdomen are demonstrated with foot injection

7 Procedure X-rays are usually taken 1 HR after injection – 24 hrs – 48 hrs (if needed) – 72hrs (if needed) First hour – Contrast in lymph ducts 24 hours – If lymph nodes After 24 hours it is indicative of cancer

8 Post Procedure 1.Watch for signs of infection Swelling red and warm to touch Accompanied by a fever Contact DR right away 2.Drink lots of water 3.Major swelling in one limb Especially limb injected

9 Indications Check for metastasis Edema in limbs – Obstruction Infections Rule out cancer

10 Contrast Oil based – More commonly used – Ethiodal – Lipodal Water based Iodine – Less commonly used – Ionic – Non-ionic

11 Iliopelvic-aortic Lymphatic System

12 Iliopelvic Abdominoaortic Lymph Nodes

13 Inguinal Region

14 Lymphography

15 Upper Limb Lymphography