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Rounded Atelectasis Secondary to Hepatic Hydrothorax

Rounded Atelectasis Secondary to Hepatic Hydrothorax▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Chest radiography and CT demonstrate a persistent, chronic left-sided pleural effusion with associated pleural thickening and multiple classic areas of rounded atelectasis in the left lower lobe, in a patient with liver cirrhosis and ascites.

Key takeaways

Rounded atelectasis is a form of lung collapse that occurs secondary to pleural disease. While classically associated with asbestos exposure, it can develop in any patient with chronic pleural fluid, including those with chronic hepatic hydrothorax due to cirrhosis.

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