No abstract

A 24-year-old previously healthy, HIV-negative lady with acute respiratory symptoms for one week, presented with bilateral chylous pleural effusions and bibasilar pneumonia. She responded rapidly to antimicrobial therapy and bilateral tube thoracostomies. Analysis of a sample of right pleural fluid confirmed exudative chylous effusion. No organisms were identified on fluid microscopy or culture. The left pleural fluid was macroscopically chylous. She had no features of tuberculosis. Bilateral chylothorax complicating bibasilar pneumonia is considerably rare.

Between January 1978 and December 1983, 232 radiological investigations of the biliary system were performed. Among them were, oral cholecystography (O.C.G.) 177 cases (76.3%), intravenous cholangiography (I.V.C.) 33 cases ( 1 4 . 2 To ) , t r a n s h e p a t i c cholangiography (P.T.C.) 17 cases (7.3%). Others were operative cholangiography (OPG) 2 cases (0.9%) and T-tube cholangiography 3 cases (1.3%).Of the 232 investigations, 178 (76.7%) were normal. Biliary stones were established in 17 cases (7.3vo), of which 7 stones were radiolucent, 5 stones were opaque, while the remaining 5 were unspecified. Other findings include extrahepatic block of the drainage system, congenital anomalies and suspected gall bladder stricture accounted for 37 cases (16%).As in Uganda biliary lithiasis is rare with no sex predeliction.