Origial Articles: PDF OnlyScintigraphic Diagnosis of Peritoneo-Pleural Communication in the Absence of AscitesDALY, JOHN J. M.D.; POTTS, JONATHAN M. M.D.; GORDON, LEONIE M.D.; BUSE, MARIA G. M.D. Author Information Division of Nuclear Medicine, Medical University of South Carolina, Charleston, South Carolina Clinical Nuclear Medicine: October 1994 - Volume 19 - Issue 10 - p 892-894 Buy Abstract Pleural effusion in the presence of cirrhosis and ascites is well recognized. Peritoneal fluid is thought to enter the pleural cavity either because of overloaded lymphatics or a structural defect between the peritoneal and chest cavities. Pleural effusion rarely occurs in the absence of demonstrable ascites. This report describes the scintigraphic diagnosis of peritoneo-pleural communication in a patient with cryptogenic cirrhosis and pleural effusion without ascites. © Lippincott-Raven Publishers.