Imaging in a case of chyluria presenting as hematuria

Chyluria is a debilitating disease characterized by passage of milky white urine. The cases of chyluria usually pose no problem in diagnosis as the characteristic milky white urine on naked examination is virtually diagnostic. However, if hematuria is a predominant finding it may mask the chyluria and lead to delayed diagnosis. In such cases imaging may play a vital role in diagnosing these cases. MRI findings of dilated retroperitoneal lymphatics are characteristic and help in early diagnosis and management of these cases.