PMC7492928_01
Chest radiograph illustrating worsening right pleural effusion (b) after thoracentesis (9 days prior) (a).
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fig1
Chest radiograph (CXR) showed worsening large volume right-sided hydrothorax despite a paracentesis a week prior to presentation (Figure 1).
Right pleural-peritoneal fistula demonstrated on peritoneal scintigraphy after 5th hour.
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fig2
In order to confirm the source, a technetium 99 peritoneal scintigraphy was performed with continuous images over a 5-hour period (Figure 2).