Case 198 Enunciado Male patient, 1 year and 3 months old, has Prune Belly syndrome and is in continuous ambulatory peritoneal dialysis (DPAC) due to chronic kidney disease. He was admitted to etiological clarification of recurrent peritoneal effusions. On examination: tachypnea, slight decrease of breath sounds on the right, diffuse breathing snoring, without respiratory effort signals. Exams attached were requested. Simple chest radiography in anteroposterior view (AP) in the first medical evaluation. Simple chest radiography in AP after peritoneal dialysis. Simple chest radiography in lateral view after peritoneal dialysis. Scintigraphy using 99mTc-MAA infused into the peritoneal dialysis fluid. Question:Analyzing the imaging tests and the clinical data, it can be concluded that the most likely cause of recurrent pleural effusions is: Congestive heart failure Lobar pneumonia Peritoneal/pleural fistula Lung entrapment Time is Up! Time's up
