Fibrothorax

Dr Yuranga Weerakkody and Radswiki et al.

Fibrothorax is defined as fibrosis within the pleural space (usually when encompassing and restricting) and is sometimes referred to as pleural peel. It occurs secondary to an inflammatory response to one of the following events:  

Radiographic features

Fibrothorax is characterized by relatively smooth pleural thickening (hence peel) that may be calcified. The mediastinal pleura is usually spared, and commonly there is marked volume loss of the affected hemithorax.

Treatment and prognosis

Treatment options can range from conservative to surgical intervention with pleural decortication considered in selected cases 5.

Article information

rID: 12640
System: Chest
Synonyms or Alternate Spellings:
  • Pleural peel
  • Pleural fibrosis
  • Diffuse pleural fibrosis
  • Fibrothoraces

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Cases and figures

  • Case 1
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  • Case 2: with previous tuberculosis
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  • Case 3: prior hemothorax
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  • Case 4: with previous tuberculosis
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  • Case 5
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  • Case 6
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  • Case 7
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  • Case 8
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