1. Annotator with Terms in Context Etiology Fistulous communication between lymphatics and urinary tract Secondary to lymphatic obstruction Infectious: Filariasis (most common worldwide), TB Non-infectious: Neoplasm, Pregnancy or surgery Multiple case reports of chyluria after partial nephrectomy ( Kim & Joudi, 2009) Possibly >2% of all partial nephrectomy patients (Miller et al, 2007) Increased risk if complicated surgery with disruption of collecting system Usually not present immediately post-op, but develops weeks later Presentation Frankly lipid-rich (i.e. “milky”) urine Immune deficiency (secondary to Ig loss) Recurrent UTI Obstruction (secondary to ureteral clot/debris) Or incidental finding on CT or urinalysis of no clinical significance Clinical Course & Treatment Reported post surgical cases are variable nephrectomy Add to RadLex Red Terms – RadLex terms shown in context Blue terms – word or phrase that is part of a RadLex term but is not by itself a RadLex term. Would probably skip words that have less than 4 characters or so.