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  Indian J Med Microbiol
 

Figure 2: (Case 1): (a), Preoperative LS of bilateral lower limbs - Initial (anterior, posterior) images display significant obstruction to right lower limb superficial lymphatic channels (dilated lymphatic tracts with multiple collaterals/dilated channels, significant dermal backflow in dorsum and distal third of leg, abnormal solitary deep (popliteal) node visualization, and faintly seen right inguinal nodes –lymphatic dysfunction scintigraphic Grade III. There is normal lymphatic flow through the left lower limb. (b) Postoperative LS at 6 weeks. (c) Quantitative LS after surgery showing increasing counts at graft site. (d) Fused SPECTCT sag, CT coronal, fused SPECTCT coronal images, arrow showing functioning VLNT graft. (e) Fused transaxial. (f) 3D fused SPECTCT image with arrow pointing at graft site neolymphangiogenesis.

Figure 2: (Case 1): (a), Preoperative LS of bilateral lower limbs - Initial (anterior, posterior) images display significant obstruction to right lower limb superficial lymphatic channels (dilated lymphatic tracts with multiple collaterals/dilated channels, significant dermal backflow in dorsum and distal third of leg, abnormal solitary deep (popliteal) node visualization, and faintly seen right inguinal nodes –lymphatic dysfunction scintigraphic Grade III. There is normal lymphatic flow through the left lower limb. (b) Postoperative LS at 6 weeks. (c) Quantitative LS after surgery showing increasing counts at graft site. (d) Fused SPECTCT sag, CT coronal, fused SPECTCT coronal images, arrow showing functioning VLNT graft. (e) Fused transaxial. (f) 3D fused SPECTCT image with arrow pointing at graft site neolymphangiogenesis.