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British Journal of Radiology (2007) 80, e188-e192
© 2007 British Institute of Radiology
doi: 10.1259/bjr/46840541
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Magnetic resonance lymphangiography in Klippel–Trénaunay syndrome

C Lohrmann, MD 1 J-P Bartholomä, MD 1 E Foeldi, MD 2 O Speck, PhD 1 and M Langer, MD 1

1 Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, D-79106, Freiburg, 2 Foeldi Clinic for Lymphology, Hinterzarten, Rößlehofweg 2-6, D-79856, Hinterzarten, Germany


Figure 1
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  		Figure 1. A 19-year-old man with Klippel–Trénaunay syndrome (KTS). (a) Frontal 3D spoiled gradient-echo magnetic resonance lymphangiography maximum intensity projection (MIP) image, obtained 45 min after gadodiamide injection, clearly delineates several enlarged lymphatic vessels in the left lower leg with typical nodular appearance (arrows). Note the concomitantly enhanced superficial vein, which shows a lower signal intensity (arrowheads). (b,c) Angled 3D spoiled gradient-echo magnetic resonance lymphangiography MIP images, obtained 45 min after gadodiamide injection, clearly delineate several enlarged lymphatic vessels in the left lower leg with typical nodular appearance (arrows). Note the concomitantly enhanced superficial vein, which shows a lower signal intensity (arrowheads).

 

Figure 2
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  		Figure 2. A 19-year-old man with Klippel–Trénaunay syndrome. Angled 3D spoiled gradient-echo magnetic resonance lymphangiography image, obtained 55 min after gadodiamide injection, clearly delineates an enlarged lymphatic vessel in the distal part of the left upper leg with typical nodular appearance (arrows). No lymphatic collectors were detected in the proximal and middle part of the left upper leg. Note the concomitantly enhanced superficial vein, which shows a lower signal intensity (arrowheads).

 

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  		Figure 3. A 19-year-old man with Klippel–Trénaunay syndrome. Frontal 3D spoiled gradient-echo magnetic resonance lymphangiography MIP image, obtained 25 min after gadodiamide injection, clearly delineates unremarkable lymphatic vessels in the right lower leg with typical nodular appearance (arrows). Note the concomitantly enhanced superficial vein (arrowhead).

 

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  		Figure 4. A 19-year-old man with Klippel–Trénaunay syndrome. Coronal heavily T2 weighted 3D-turbo spin echo (TSE) source image demonstrates epifascial lymphoedema of the left lower leg (arrows).

 




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