Fig. 4
A 30-year-old woman (patient #5) with LAM. The patient had ascites and laboratory examination indicated chyloperitoneum. 99mTc-ASC lymphoscintigraphy (A, red arrows) showed mild diffuse activity in the abdomen with barely no chest activity. 68Ga-NEB PET/CT images revealed abnormal activity in the chest (B, MIP) and retroperitoneal lymphatic vessel dilation (white arrows) and lymphadenopathy (green arrows) (C, PET; D, CT; E, fusion). Interestingly, the abnormal activity in the ascites was not as obvious on 68Ga-NEB PET/CT images as on 99mTc-ASC lymphoscintigraphy