title: Transdiaphragmatic leakage of ascites in cirrhotic patients: evaluation with ultrafast gradient echo MR imaging and intraperitoneal contrast enhancement.
abstract: The utility of intraperitoneal instillation of Gd-DTPA and ultrafast MR imaging in the diagnosis of transdiaphragmatic leakage of ascites was assessed in two cirrhotic patients with right-sided pleural effusion. Contrast-enhanced serial snapshot-FLASH reliably demonstrated the communication between the peritoneal and the pleural cavities in both patients. In one case, a right-sided diaphragmatic defect could be exactly localized.
authors.affiliation: Department of Diagnostic Radiology, University of Technology (RWTH) Aachen, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Urhahn
authors.forename: R W
authors.initials: RW
authors.lastname: Günther
mesh_terms: D001201:Ascites / Q000175:diagnosis* / Q000209:etiology; D003287:Contrast Media; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000473:pathology; D019786:Gadolinium DTPA; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives; D010529:Peritoneal Cavity / Q000473:pathology; D010996:Pleural Effusion / Q000175:diagnosis
chemical_list: D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA