Evidence map›Paper›PMID 41165909›Full record

ArticleJapanese journal of radiology2026

Comparative analysis of clinical and CT manifestations between complex lymphatic anomalies with and without chyloptysis.

Mingxia Zhang, Ling Li, Ying Sun, Meng Huo, Chunyan Zhang, Lei Sun, Rengui Wang, Yunlong Yue

Abstract readComparative Study
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In one paragraph

Article in Japanese journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Mingxia ZhangDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Ling LiDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Ying SunDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Meng HuoDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Chunyan ZhangDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Lei SunDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Rengui WangDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Yunlong YueDepartment of Medical Imaging, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. yueyunlong@bjsjth.cn.ORCID http://orcid.org/0000-0002-9768-8192

Funding

Beijing Science and Technology Planning Project Z211100003521009China Railway J2021Z612National Natural Science Foundation of China 61876216
6 · The paper itself

Abstract

objectiveChyloptysis indicates the presence of a lymphangio-bronchial fistula. This study compared the chest CT imaging features and clinical manifestations between CLA (complex lymphatic anomalies) patients with and without chyloptysis. MATERIALS AND

methodsA retrospective analysis was performed on 291 thoracic CLA patients (142 males, 149 females) admitted from December 2008 to February 2024. Divided into chyloptysis (152) and non-chyloptysis (139) groups, we compared their clinical data and chest CT features to find differences related to chyloptysis in CLA patients.

resultsThe chyloptysis group had a significantly higher incidence of chyle pericardium, as well as more cystic lesions at the right lymphatic duct, and of the thoracic duct itself. In contrast, the non-chyloptysis group showed more cystic lesions of the liver, spleen, abdominal cavity, neck, and skeleton. All these differences were statistically significant (P < 0.05).The incidence of lymphedema in the non-chyloptysis group was higher than that in the chyloptysis group (P < 0.05), among which there was a significant statistical correlation between lymphedema of the lower limbs, lymphedema of the scrotum, lymphedema of the face and lymphedema of the upper limbs and chyloptysis (P < 0.05). The severity of chylopulmonary disease was closely related to the appearance of chyloptysis (P < 0.001). In terms of the characteristics of chest CT findings, the incidence of GGO, consolidation, grid shadow, vacuolar sign, nodular pleural thickening, solid nodules, perifascicular interstitial thickening, hilar opacity or swelling, and parapericardial effusion were higher in the chyloptysis group than in the non-chyloptysis group (P < 0.05).

conclusionThe analysis of these differences is of great clinical significance for understanding the distribution of chyloptysis in CLA patients with different CT signs, and it is convenient for clinicians to strengthen the risk prediction and management of chyloptysis in CLA patients.

Indexed as

Lymphatic AbnormalitiesTomography, X-Ray ComputedAdolescentAdultAgedChildChyleFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultChest CTChyloptysisChylous pneumoniaComplex lymphatic anomalies

Identifiers

PMID41165909

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