PMC5726757_01
CT of head and neck.. (Radiologist's impression: 1. Surgical drain present in the right inferolateral neck surrounded by inflammation/edema without localized fluid collection surrounding the drain. 2. Irregularly marginated fluid collection superiorly adjacent to the surgical drain as described. 3. Segmental occlusion of the caudal aspect of the right internal jugular vein as described.)
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The CT scan illustrated a 1.1 x 2 cm right neck fluid collection with short segment partial occlusion of right IJ (Fig. 1).
Pictured is the transected and ligated thoracic duct. Anatomical landmarks are numbered as follows: 1-azygous vein, 2-esophagus, 3-spine, TD-thoracic duct.
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Four clips were applied on either side of the thoracic duct, and then it was transected between the applied clips (See Fig. 2).