Figure 2. : Pleural and lymphatic involvement in LAM.

2A: CT chest in a patient with TSC-LAM showing a spontaneous pneumothorax. 2B: CT chest demonstrating right sided pleural effusion that was confirmed as a chylothorax following thoracentesis. 2C: CT chest showing ground glass attenuation in the right lower lobe suggestive of chylous congestion in a patient with LAM and history of chyloptysis. 2B and 2C: The chylous effusion as well as the chylous congestion resolved successfully after treating with sirolimus.