14-years old girl with a large, tuberculous, necrotic right paratracheal mediastinal node that ruptured into the lung.
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Chylothorax is often an enigma. Usually, iatrogenic, traumatic and neoplastic causes can be diagnosed with standard contrast CT scans. Other causes need lymphangiograms for definitive diagnoses.
It is unlikely that the presence of TB in endemic countries will affect the utility of LDCT for cancer detection in smokers, as long as the radiologists and pulmonologists have good interpretation skills and these patients are managed in a multidisciplinary setting
