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5. Triglycerides of 150 mg/dL
Pleural fluid triglycerides of > 110mg/dL is diagnostic of a chylothorax which develops when lipids from chyle collect in the pleural space, usually as a result of injury to the thoracic duct or other regional lymphatic tributaries. Such disruptions can either be traumatic or non-traumatic. As in this case, a LAM-induced chylous effusion is non-traumatic and caused by lymphatic disruption from proliferation of atypical smooth muscle cells and the lymphangetic spread.
After biopsy-proven lymphangioleiomyomatosis was diagnosed and with mechanical pleurodesis performed on the left, what would be the best therapeutic intervention to offer this patient? (Click on the correct answer to proceed to the fifth and last panel)