Presentation
Progressive shortness of breath over many months. Previous occupations include ship-building.
Patient Data
Age: 65 years
Gender: Male
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The right lung is encased by a rind of tissue, nodular in parts. The tissue is seen along the lateral thoracic margin and the medial mediastinal surface. Normal left hemithorax. No bone destruction.
Case Discussion
Given the history which implies exposure to asbestos, this type of encasing pleural thickening is almost pathognomonic of mesothelioma, and the biopsies confirmed this to be the case. Lymphoma and pleural metastases from breast and lung cancer can also cause this pattern.
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