Hydrothorax in continuous ambulatory peritoneal dialysis: therapeutic implications of Tc-99m MAA peritoneal scintigraphy.

Key words: continuous ambulatory peritoneal dialysis confirmed a massive left-sided pleural effusion (Figure 1a). The echocardiogram revealed concentric (CAPD); end-stage renal disease (ESRD); hydro-thorax; Tc-99m macroaggregated human albumin left ventricular hypertrophy with adequate global performance , and no pericardial effusion. The abdominal (MAA) peritoneal scintigraphy sonogram showed a normal liver echo pattern without evidence of liver cirrhosis. Serum C3 level was 66 mg/dl (normal range 50–120 mg/dl), C4 29 mg/dl (normal