title: Isolated femoral osseous megalymphatics with chylous reflux: case report and review of the literature.
abstract: We report here the clinical and imaging findings of marked dilatation of the intraosseous lymphatic vessels, "megalymphatics," with chylous reflux presenting with pain and extensive lytic changes in a femoral bone of a child. Multimodality imaging findings, including radiographs, magnetic resonance imaging, ultrasound, scintigraphy and percutaneous osseous lymphangiography are described.
authors.affiliation: Department of Radiology and Imaging, Queen Elizabeth Hospital, 300 Gascoigne Road, Kowloon, Hong Kong.
authors.forename: Kin Sun
authors.initials: KS
authors.lastname: Tse
authors.forename: Ali Y
authors.initials: AY
authors.lastname: Alsamarah
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Bixby
authors.forename: Ahmad I
authors.initials: AI
authors.lastname: Alomari
mesh_terms: D002648:Child; D002913:Chyle / Q000166:cytology* / Q000000981:diagnostic imaging*; D003952:Diagnostic Imaging / Q000379:methods*; D005269:Femur / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008198:Lymph Nodes / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D010014:Osteolysis / Q000175:diagnosis*; D011859:Radiography