Chylous pleural effusion is characterized by milky-appearing fluid with elevated triglyceride content and presence of chylomicrons in the pleural space. Even though patients with lymphoma sometimes present with malignant pleural effusion, chylous effusion is rarely encountered as a presenting feature in such patients. We present a 47-year-old woman diagnosed as follicular lymphoma who presented with chylothorax. Complete response to combination chemotherapy with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisolone was achieved. The patient is asymptomatic, in remission at 18 months of follow up. 

Keywords: Chylous pleural effusion, Non Hodgkin lymphoma, First presentation, Flowcytometry

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