PMC4855420_01
(a) and (b) coronal and transverse views: "white out" resulting from a large left pleural effusion.
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PMC4855420_01_gr1.jpg
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Investigations including CT pulmonary angiogram demonstrated the presence of a large effusion on the left side, almost obliterating the entire pleural space (Fig. 1a and b).
(a) Lymphangiogram: Lipoiodol injected into superficial inguinal node fills cysterna chyli (white arrow). (b) Lymphangiogram: Aberrant left thoracic duct (2 black arrows) extravasation at T9 (white arrow). A single black arrow points towards a side branch of the thoracic duct. (c) Lymphangiogram: Occlusion of leak following coiling and embolization (black arrow). The side branch has also been occluded.
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PMC4855420_01_gr2.jpg
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T12/L1 disc (Fig. 2a). The lymphangiograms showed the presence of an aberrant thoracic duct running to the left of the thoracic vertebral column. There was extravasation of contrast medium at the level of T9 (Fig. 2b).