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  • Title: Ascites and right pleural effusion: demonstration of a peritoneo-pleural communication.
    Author: Verreault J, Lepage S, Bisson G, Plante A.
    Journal: J Nucl Med; 1986 Nov; 27(11):1706-9. PubMed ID: 3772505.
    Abstract:
    A 54-yr-old female with known liver cirrhosis presented with a right transudative pleural effusion and ascites. To find the source of pleural fluid, [99mTc]sulfur colloid was injected intraperitoneally and a serial imaging study revealed its passage to the right pleural space on 2-hr and 24-hr images. Mechanisms proposed in the formation of pleural effusion in liver cirrhosis are (a) lymphatic drainage and (b) diaphragmatic defect. Radioisotope migration speed may be a clue for differentiating these two mechanisms, being more rapid in the presence of a diaphragmatic defect.
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