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IN NODULAR SCLEROTIC
HODGKIN’S LYMPHOMA :
A RARE CASE REPORT
E. Rakhmawati1, Widiastuti2
1Resident of Radiology Department
2Thoracic Radiology Consultant of Radiology Department
Chylothorax
spontaneous
chylothorax
IMPORTANT CHALLENGE
FOR RADIOLOGISTS
OBJECTIVES
Contrasted
WSD : thorax CT :
milky effusion superior
8 days: M, 23 yo : mediastinal mass
6250 ml (left) cough,dyspnea bilateral pleural
2100 ml (right) effusion
& chest
845-1457 mg/dl discomfort. left collapsed
triglyceride levels lung
(fig 3,4). (fig 5,6,7)
figure 1 figure 2
Homogen opacity at left perihillar Homogen opacity at bilateral hemithorax
suspected for mediastinal mass with right deviated trachea
demonstrating bilateral pleural effusion
6
figure 3 figure 4
WSD at left hemithorax : Right hemithorax WSD:
Milky effussion 6250 cc Milky effussion 2100 cc
Figure 5
• Superior mediastinum
mass attach to the
vascular with bilateral
axillar, supra and infra
clavicular
lymphadenopathy
• Bilateral pleural
effussion with WSD at
left hemithorax and
callapsed lung
40
Figure 6 Figure 7
40
DISCUSSION
thorax
CXR : CT location,
mediastinal
mass and source of
pleural chylous
effusion leakage,
(little evaluates
diagnostic post
value).3,4 WSD3,5,6
CONCLUSION
• Spontaneous Chylothorax complication
in nodular sclerotic Hodgkin lymphoma
is rare and life-threatening event if it is
not properly treated.