Lab test interpretation

Feline Chylothorax: Pleural Effusion Cytology

Laboratory signs of chylothorax in cats: macroscopic appearance of chyle, effusion cytology with lymphocyte predominance, and main causes of the pathology.

Test tube with chyle and pleural effusion smear with lymphocyte predominance
Test tube with chyle and pleural effusion smear with lymphocyte predominance

🔬 VETERINARY CYTOLOGY Cat. Pleural effusion. Chyle. (Left) Macroscopically milky appearance. (Right) Predominance of small lymphocytes with a small number of macrophages containing clear punctate vacuoles. Wright-Giemsa stain.

✅ Chylothorax — accumulation of lymph (chyle) in the pleural cavity ☑️ Essence Chyle drains via the thoracic duct into the venous system Contains lymph and chylomicrons (fats from the GI tract) Impaired drainage → accumulation in the pleura

☑️ Causes 🧠 Mediastinal and lung tumors (thymoma, lymphoma) 🔥 Inflammation, fungal granulomas 🫁 Lung lobe torsion ❤️ Heart and pericardial diseases 🩸 Cranial vena cava thrombosis 🧬 Congenital anomalies of the thoracic duct

❓ Idiopathic

💥 Thoracic duct rupture Photo source: 🏛 Library “Veterinary Laboratory Medicine”