case_images: PMC10905203_01
case_images: A chest x-ray anterior-posterior view showing heterogeneous opacities with air bronchograms in bilateral lung fields and bilateral pleural effusion, left more than right
case_images: cureus-0016-00000053271-i01.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i01.jpg
case_images: FIG1
case_images: Bilateral lung field haziness on chest x-ray with left pleural effusion and left side ICD in situ
case_images: cureus-0016-00000053271-i02.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i02.jpg
case_images: FIG2
case_images: Milky white appearance of pleural fluid; chylothorax
case_images: cureus-0016-00000053271-i03.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i03.jpg
case_images: FIG3
case_images: The pleural fluid was milky white in appearance (Figure 3).
case_images: Extensive ground glass opacities in all segments of bilateral lung fields with thickening of interlobular septae at places consistent with acute respiratory distress syndrome
case_images: cureus-0016-00000053271-i04.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i04.jpg
case_images: FIG4
case_images: Mediastinal window of computed tomography showing bilateral moderate pleural effusion with collapse consolidation of underlying pulmonary parenchyma and bilateral basal atelectasis
case_images: cureus-0016-00000053271-i05.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i05.jpg
case_images: FIG5
case_images: Reactive bone marrow changes with myeloid prominence, raising suspicion of hemophagocytic lymphohistiocytosis (HLH)
case_images: cureus-0016-00000053271-i06.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i06.jpg
case_images: FIG6
case_images: Chest x-ray anterior-posterior view post-TDE, where the embolization of the thoracic duct by cyanoacrylate glue can be seen (red arrow). TDE: thoracic duct embolization
case_images: cureus-0016-00000053271-i07.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i07.jpg
case_images: FIG7
case_images: Percutaneous thoracic duct embolization (TDE) was performed to address persistent drainage (Figure 7).
case_images: A chest x-ray anterior-posterior view post-discharge shows complete clearance of bilateral lung fields with bilaterally clear costophrenic angles indicating complete clearance of the chylothorax, with embolization of the thoracic duct (red arrow)
case_images: cureus-0016-00000053271-i08.jpg
case_images: PMC10905203_01_cureus-0016-00000053271-i08.jpg
case_images: FIG8
case_images: The intercostal drainage (ICD) was eventually removed upon reduced drainage and improvement observed in consecutive chest x-rays, leading to the patient's discharge in a stable condition (Figure 8).