Clinical signs of the Neonatal Lymphatic Flow Disorder (NLFD) are a combination of the congenital chylothorax, chylous ascites and body edema. It can present as neonatal chylothorax (NC), neonatal chylous ascites, or congenital lymphatic dysplasia (CLD). The prenatal appearance of lymphangiectasia has been described as nutmeg lung. The purpose of this study is to describe prenatal and postnatal imaging features and outcomes of neonates with NLFD. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Biko David, Johnstone Jordan, Dori Yoav, Itkin Maxim, Oliver Edward, Victoria Teresa

Keywords: lymphatic imaging, nutmeg lung, neonatal lymphatic flow disorder

Inguinal lymph node identification using ultrasound is critical in performing intranodal lymphangiography. We routinely utilize a 15 MHz “hockey stick” linear high resolution ultrasound probe (Philips Epic 7) for identification as well as to gain needle access into the inguinal lymph node. However in children with severe body wall edema and in low weight premature babied identification of lymph nodes can be difficult and sometimes impossible. Higher frequency ultrasound transducers offer the potential for improved identification of lymph nodes in such cases. The aim of this study was to compare imaging finding of high resolution US probe to the traditional 15 mHz probe in patients undergoing lymph node access for lymphangiography. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Krishnamurthy Ganesh, Escobar Fernando, Srinivasan Abhay, Smith Christopher, Biko David, Pinto Erin, Dewitt Aaron, Dori Yoav

Keywords: Ultra high frequency, lymph nodes, lymphatic intervention

Percutaneous lymphatic interventions (PLI) target the pulmonary lymphatic abnormalities seen in patients with plastic bronchitis (PB). Existing data in patients with congenital heart disease(CHD)indicates poor transplant-free survival after the diagnosis of PB. We describe various techniques of PLI and characterize intermediate-term survival and complications after PLI. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Krishnamurthy Ganesh, Srinivasan Abhay, Smith Christopher, Savla Jill, Biko David, Pinto Erin, Dewitt Aaron, Dori Yoav, Escobar Fernando

Keywords: Plastic bronchitis, percutaneous lymphatic intervention

To report on our initial experience with the use of mesenteric dynamic contrast MR lymphangiography (DCMRL) for evaluation of the lymphatics in patients with concern for mesenteric lymphatic flow disorders and compare these findings to intranodal (IN) DCMRL and intrahepatic (IH) DCMRL. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Biko David, Pinto Erin, Krishnamurthy Ganesh, Escobar Fernando, Dori Yoav, Smith Christopher, Dewitt Aaron, Gillespie Matthew, Rome Jonathan, Glatz Andrew, Rapp Jordan, Otero Hansel, O'byrne Michael

Keywords: MR lymphangiography, mesenteric imaging

Review imaging findings on static and dynamic contrast enhanced magnetic resonance lymphangiogram (DCMRL) in young infants who presented with chylothorax and correlate these imaging findings with clinical outcomes. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Gaballah Marian, Otero Hansel, Rapp Jordan, Rome Jonathan, Biko David, Dori Yoav, Pinto Erin, Krishnamurthy Ganesh, Smith Christopher, Escobar Fernando, Dewitt Aaron, Taha Dalal, Edgar James

Keywords: lymphatic, Lymphangiogram, chylothorax