fig3

Figure 3. A, B: Contrast-enhanced MR-lymphangiography demonstrated enlargement and tortuous configuration of the TD as well as reflux into retroperitoneal and pelvic distended/cystic lymphatics (white arrows); C: X-ray lymphangiography-guided catheter intervention showed a stenosis of the TD at the level of the angulus venosus sinister. Cannulation of the terminal TD (black arrow) was unsuccessful due to an extensively torqued TD so that a recanalization attempt was without success (A–C University Hospital Bonn, Department of Diagnostic and Interventional Radiology). D-F: The TD (white asterisk) was anastomosed end-to-end to the left external jugular vein (black asterisk)^[35].