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Congenital chylothorax is the most common cause of pleural effusion in the neonatal period. We describe a 9 days old new born admitted for respiratory distress. The chest X-rays showed a white right lung with a left mediastinal shift. A pleural aspiration assessed the diagnosis of chylothorax. Lympho-scintigraphy detected rapid drainage of lymph into the right side of the chest. A conservative treatment was initiated with pleural aspirations and total parenteral nutrition followed by enteraldoi:10.4172/2165-7920.1000668 fatcat:7zb23onrtbdetdjy5qq2vpzcei