Presentation
Left pleuritic chest pain. weight loss. Past history asbestos exposure.
Patient Data
Large left pleural effusion. Thick pleural rind encasing total left lung and involving the left major fissure Calcified pleural plaques are present.
No mediastinal nodes. No lung mass . There are no changes of lung fibrosis.
Conclusion:
The appearance in a patient with prior asbestos exposure are most likely due to mesothelioma,
Case Discussion
In a patient with asbestosis exposure and these CT findings mesothelioma is by far the most likely diagnosis.The presence of calcified pleural plaques strengthens this diagnosis.
In a person with no prior exposure to asbestosis similar CT findings can be seen in pleural metastases.
Pleural TB can result in marked pleural thickening encasing the lung.
Unable to process the form. Check for errors and try again.