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Fig. 13. 41-year-old woman who had lymphangioma removed from left thigh at birth and who presented with new soft-tissue mass in left anterior thigh and edema of left lower extremity. Delayed lymphoscintigram of lower extremities reveals no lymphocele or dermal backflow but does show fewer ilioinguinal lymph nodes (arrow) on left side than on right. Latter finding may be residual effect of prior surgery, normal variant, or related to low flow obstruction.