 we describe the lymphoscintigraphy findings of a 25-year - old female patient who was undergoing presurgical workup for lymphangiomas of the vulva . she had a history of treatment for disseminated tuberculosis 6 years back and presented with herpetiform oozing vesicles in the external genitalia . 
 single - photon emission computed tomography / computed tomography ( spect / ct ) confirmed cutaneous tracer accumulation in the vulval lesions and demonstrated the presence of densely calcified inguinal nodes secondary to healed tuberculosis as the etiology of secondary lymphangioma . 
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