Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, [...]