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Loculated Ascites and Abdominal Pain  



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BACKGROUND
A 56-year-old man presents with discomfort and distension in the left upper quadrant. The top images are the most recent CT scans, and the bottom images were obtained 2 years ago to evaluate symptoms unrelated to his present condition. The patient is a retired plumber.

What is the diagnosis?
Hint
Occupational hazard
Author: Ali Nawaz Khan, MBBS, FRCP, FRCS, FRCR, Lecturer, Department of Diagnostic Radiology, Faculty of Medicine, University of Manchester, and Reggie George, MBBS, FRCP, Consultant Gastroenterologist, North Manchester General Hospital NHS Trust, UK
North Manchester General Hospital, Acute Pennine Trust, Manchester UK
eMedicine Editor: Sat Sharma, MD
Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine
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