Congenital Chylothorax

Congenital chylothorax should be considered in neonates with symptoms and imaging consistent with pleural effusion, but analysis of the pleural effusion is necessary to confirm chylothorax. Lymphangiogram can identify a leak or highlight a structural lymphatic anomaly and is useful in guiding therapy. However, this case adds to the recent evidence in the literature that lymphangiography alone can resolve a lymphatic leak. Further research should be done on the efficacy of therapeutic lymphangiography to further elucidate its role in congenital chylothorax management.