Case report: horse or zebra ascites or pseudo-ascites? Care for pictural details!

摘要

Radiological signs evoking pseudo-ascites. Initial MRI of the patient: Coronal aspect showing distribution of the abdominal fluid and the sparing of the hepatodiaphragmatic space. Note the centralization of the bowel and the confusing floating aspect of the bowel loops, and the partial septae. MRI performed at a later stage in the patient: Coronal aspect showing an increased amount of fluid that distributes in the whole cavity and do not spare the hepato-diaphragmatic space. as a comparison, CT coronal aspect of free massive ascites in a child with decompensated biliary cirrhosis. (White arrows pointing at the hepato-diaphragmatic space – Black arrows pointing at partial septae)