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. 2023 Nov;38(6):949-950.
doi: 10.3904/kjim.2023.092. Epub 2023 Jul 24.

Massive pleural effusion and cardiomegaly

Affiliations

Massive pleural effusion and cardiomegaly

Min-Ji Son et al. Korean J Intern Med. 2023 Nov.
No abstract available

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Conflict of interest statement

Conflicts of interest

The authors disclose no conflicts.

Figures

Figure 1
Figure 1
(A) Chest radiography showed massive pleural effusion and marked cardiomegaly. (B) Transthoracic echocardiography revealed large amount of pericardial effusion with diastolic collapse of right ventricle, suggestive of echocardiographic cardiac tamponade. (C) Immediate after pericardiocentesis, drained pericardial fluid showed milky appearance. (D) After embolization of thoracic duct, pericardial fluid turned serous and resolved (E). *, pericardial fluid; RV, right ventricle; LV, left ventricle.
Figure 2
Figure 2
(A) Lymphangiography showed delayed filling of the terminal thoracic duct draining into the left subclavian vein. After superselection of chyle leakage using microcatheter (B), embolization of thoracic duct with microcoils and glue was successfully done (C). Arrow, tip of microcatheter.

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