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Bhavin Jankharia
Current Case:
63-years old, CKD on dialysis for 4 years developed bilateral chylothoraces 3 months ago and was referred for a CT lymphangiogram (CTL)
While there are different ways of doing lymphangiograms, a relatively new technique is CTL with intranodal injection of non-ionic iodinated contrast and rapid scanning within 2-5 minutes.
The video explains what I did - injecting a retroperitoneal node in the prone position instead of an inguinal node with a successful CTL showing lymphatic duct obstruction at the D5-6 level.
The paradigm has changed. This procedure is now simple and can be performed by anyone who can put a needle into a node proximal to the site of obstruction with intranodal injectino of regular non-ionic iodinated contrast.
Table of Contents and Other Adrenal Gland Biopsies Biopsies
Table of Contents
Table of Contents
Bhavin Jankharia
Previous Posts:
Live Session - Discussion of Jan 2026 Cases
In this live session, I discussed 6 cases showing how I did the biopsies and answered questions from the attendees
Bhavin Jankharia
Case 173 - Periportal Node Biopsy in a Post-Whipple’s Abdomen - The Power of a Blunt-Tip Needle
Sometimes a difficult lesion needs a combination of techniques as in this patient with a small periportal node following Whipple’s where the blunt-tip technique was used with a fixed-point method and intraprocedural intravenous contrast.
Bhavin Jankharia
