PMC4137701_01
25-year-old female patient with right pleuroperitoneal leak following CAPD. Anteroposterior radiograph of the chest demonstrates large right pleural effusion with some underlying consolidation.
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Repeated chest X-rays showed recurrent large right pleural effusions (Figure 1), requiring repeated therapeutic taps.
((a), (b)) 25-year-old female patient with right pleuroperitoneal leak following CAPD. Axial postcontrast CTPA image demonstrates right pleural effusion (arrow in (a)) and pericardial effusion (arrow in (b)).
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fig2
The CTPA confirmed large right pleural effusion with some underlying consolidation (Figure 2(a)) and small left pleural and large pericardial effusion (Figure 2(b)).
25-year-old female patient with right pleuroperitoneal leak following CAPD. Tc-99m MAA scan demonstrated progressive increase in activity in the right lung (arrowhead), confirming the diagnosis of pleuroperitoneal leak. The last image was taken at 3.5-hour delay.
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fig3
Technetium Tc-99m Macroaggregated Albumin (Tc-99m MAA) injected into the abdominal dialysate port. The scan demonstrated a progressive increase in activity in the right lung, confirming the diagnosis of pleuroperitoneal leak (Figure 3).