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. 2016 Mar 18;41(4):302–308. doi: 10.1097/RLU.0000000000001171

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Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved

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A 43-year-old man with the right side of persistent pleural effusion (patient 3). The patient had a remote history of motor vehicle accident. Laboratory examination of the fluid after thoracocentesis demonstrated chylothorax. ^99mTc-SC scintigraphy (A) revealed diffuse, mild activity in the right chest, consistent with the clinical findings of right chylothorax. However, the potential site of the chyle leak could not be identified. In comparison, ⁶⁸Ga-NEB PET/CT (B, MIP; C: coronal fusion; D: axial fusion; E: sagittal fusion) not only showed activity in the right chest pleural effusion (small arrows), but also clearly revealed an additional vertically linear intense activity (large arrow) centered in the dilated thoracic duct and cisterna chyli with mild activity surrounding (arrowheads), consistent with the site of the leak.