Objectives: 

•Thoracentesis
•Milky appearance to fluid typical but it can be clear
•Give cream (enteral) prior to sampling fluid will make the fluid turn milky
•Send fluid for:
•Triglycerides (>110 mg/dL diagnostic, <50 mg/dL rules out)
•Cholesterol (cholesterol:triglyceride >1)
•Lipoprotein electrophoresis will demonstrate chylomicrons
•
•Lymphangiography – contrast injected into a lymph node
•Lymphoscintigraphy – radioactive tracer (technetium-99) injected into subcutaneous tissue
Session date: 
07/28/2026 - 10:00am to 11:00am CDT
  • 1.00 ABS Accredited CME
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Participation
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Speaker Name: 
Jason P. Sulkowski MD MS