case_images: PMC9168155_01
case_images: FDG avid lymph nodes in the left supraclavicular region extending to the anterior mediastinum.
case_images: CRIS2022-7510793.001.jpg
case_images: PMC9168155_01_CRIS2022-7510793.001.jpg
case_images: fig1
case_images: PET-CT reported FDG avid lymph nodes with the biggest measuring 68 x 55 x 29 mm (SuvMax: 19) and 85 x 150 x 95 mm (SuvMax: 28) in the left supraclavicular region extending to the anterior mediastinum (Figure 1).
case_images: (a) Lymphatic fistula output in the early postoperative period. (b) Lymphatic fistula output after first lymphangiography.
case_images: CRIS2022-7510793.002.jpg
case_images: PMC9168155_01_CRIS2022-7510793.002.jpg
case_images: fig2
case_images: On the postoperative second day, a lymphatic fistula was observed with an output up to 1400 ml daily (Figure 2(a)). Although documented daily output was fairly decreased, the fistula persisted (Figure 2(b)).
case_images: CT confirmation of the fistula site embolization and closure.
case_images: CRIS2022-7510793.003.jpg
case_images: PMC9168155_01_CRIS2022-7510793.003.jpg
case_images: fig3
case_images: The fistula site and closure were then confirmed with CT (Figure 3). The fistula closed within two days after the intervention and in due time etoposide and cisplatin-based chemotherapy was initiated for thymic carcinoma diagnosis.