Background: Pulmonary lymphangiectasia (PL) is a rare disease characterized by dilation of the pulmonary lymphatic vessels. PL should be considered in differential diagnosis infants with pleural effusion, especially presence chylothorax. Case Presentation: A 3-week-old neonate presented tachypnea, cough, and reluctance to feed. Work-up found bilateral chylous effusion. The patient was initially...