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Clin Nucl Med 1998 Jan;23(1):16-18
The use of the diagnostic radionuclide ascites
scan to facilitate treatment decisions for hepatic hydrothorax.
Schuster DM, Mukundan S Jr, Small W, Fajman WA
Grady Memorial Hospital, Department of Radiology, Emory University
School of Medicine, Atlanta, Georgia, USA.
A 44-year-old man had an intractable right-sided pleural effusion
due to cirrhosis, despite the absence of abdominal ascites. Instillation
of Tc-99m macroaggregated serum albumin under CT guidance into the
peritoneal space demonstrated transdiaphragmatic communication.
This finding indicated the necessity for decompressing the portal
system to treat the hydrothorax. The diagnostic radionuclide ascites
scan may play an important role in the treatment approach to such
patients.
PMID: 9442959, UI: 98105170
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