Asbestos-related pleural plaques

Case contributed by Dr Hani Salam

Presentation

History of asbestos exposure.

Patient Data

Age: 75 years
Gender: Male
X-ray

Bilateral calcified pleural plaques.

Bilateral pleural plaques, most of them are calcified. Right lower lobe round atelactasis. Bilateral subpleural reticular bands. 

Case Discussion

Asbestosis refers to later development of diffuse interstitial fibrosis secondary to asbestos fiber inhalation and should not be confused with asbestos-related lung disorder. This case demonstrate both entities.

Asbestos-related lung disease findings include pleural plaques, that tend to be calcified, and round atelectasis. Benign pleural thickening and pleural effusions may also be present although not in this case.

With regards to asbestosis, there are findings of interstitial lung fibrosis related to asbestos exposure, as the case shows intralobular linear opacities (reticulations) and subpleural curvilinear bands. Later on in the disease there may be honeycomb fibrosis (UIP pattern) as seen at both lung bases.

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Case information

rID: 39069
Published: 18th Aug 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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