Presentation
Previous manual laborer with shoulder pain and shortness of breath.
Patient Data
Age: 65
Gender: Male
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Multiple bilateral symmetric pleural calcified plaques demonstrating an irregualr nodular 'Holly leaf-like' appearance.
Case Discussion
Calcified "holly leaf" pleural plaques occur as a consequence of prior prolonged exposure to asbestos, usually in an occupational setting.
The distribution of pleural thickening and plaques is helpful in determining etiologic cause, with a symmetric distribution favoring asbestos-related disease, whereas asymmetric involvement is less likely asbestos-related.