FDG avid left pleural circumferential nonuniform sheet and mass-like thickening involving the costal, mediastinal and diaphragmatic pleura, with SUV max 12 and measuring cm in max thickness. The mass invades the pericardium and encases the descending thoracic aorta. It also shows diagrammatic invasion and lower lateral chest wall invasion.
Associated left hydropneumothorax.
No distant metastasis.