Respiratory System Patient: 12 year old female History: 12 year old girl with past history of status asthmaticus,

aspergillosis, now with persistent cough.

Branching soft tissue density in R lungdistal area of hyperlucency in RUL

Branching, nonenhancing soft tissue density structure with branching features.

Branching appearance of abnormal structure in R lung.

Air trapping distal to mass is seen.

Lymphatic System

Primary lymphatic aplasia of the left leg in a 12-yearold girl. (a) Lymphogram obtained during the filling phase shows absence of opacification of the left abdominopelvic lymphatic system. (b) Plain radiograph centered on the left knee shows absence of lymphatic collectors in the left leg with filling of superficial lymphatic vessels in the skin (dermal reflux). These findings are consistent with lymphatic aplasia.

Chylous ascites in a 43-year-old human immunodeficiency viruspositive man with peritoneal tuberculosis. (a) Lymphogram obtained during the filling phase shows peritoneal extravasation of contrast material. The site of the leakage is seen immediately to the left of L4 (arrow). Multiple lympholymphatic anastomoses between both sides of the lymphatic system are also evident. (b) CT scan obtained after lymphography shows the exact level of the damage to the lymphatic vessels (arrowhead). It also shows a dysmorphic liver and ascites. (c) Lymphogram obtained during the storage phase shows extensive leakage in the form of oily droplets within the peritoneal cavity.

Marked peripheral edema in a 79-year-old woman who was wheelchair-bound due to bilateral hip arthritis. The deep venous system was unremarkable at duplex Doppler US. (a) Clinical photograph shows bilateral lower leg edema. (b) Lymphangioscintigrams obtained 35 minutes (left) and 4 hours (right) after injection of radiotracer show intact lymphatic trunks without dermal backflow but with sluggish lymph transport, findings that are consistent with functional or "disuse" lymphedema.

Perivascular extravasation in a 28-year-old woman with edema of the left leg as a result of aplasia of the lymphatic vessels in the left leg. Lymphogram obtained immediately after administration of contrast material shows no lymphatic vessels. The contrast material is drained by the lymphatic system, mainly along the venous vessel sheaths.