Epistemis

Fluoroscopy · Chest · open case 024

Radiology · Thorax

Frontal view of fluoroscopic images during inguinal injection of Lipiodol. At abdominal level there is opacification of lymph vessels with drainage of Lipiodol into the cysterna chyli and thoracic duct (TD). Image of occlusion of the TD on the passage from abdominal to thoracic level. Black arrow: droplets of ethiodized oil at the passage from the inferior caval vein to the TCPC conduit, revealing early lymphovenous shunting. At thoracic level there is drainage of Lipiodol through multiple collaterals to hilar, peribronchial, mediastinal, and axillar dilated lymph vessels. Right mediastinum is more affected than the left.
Frontal view of fluoroscopic images during inguinal injection of Lipiodol. At abdominal level there is opacification of lymph vessels with drainage of Lipiodol into the cysterna…

The guided interpretation is available in the app

Epistemis explains what is seen in this image, why, and what it should not be confused with: guided findings, reasoned interpretation, and the clinical pearls of the case. Free; The image becomes available offline after downloading.

Download Epistemis

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

Category
Thorax
Difficulty
mean
Type
Radiological image
Mode
Fluoroscopy

Origin: MultiCaRe · figure from open-access article PMC7652765 · License CC BY

Download Epistemis