Asbestos-related pleural disease

Case contributed by Azza Elgendy
Diagnosis certain

Presentation

Shortness of breath.

Patient Data

Age: 70 years
Gender: Male

Multiple bilateral calcified pleural plaques consistent with asbestos related pleural disease. 

Two solid juxtapleural nodules that have been formed (largest one is marked by a purple arrow head), unchanged for two consecutive CTs consistent with round atelectasis. 

Case Discussion

The first set of images show the classic appearance of asbestos-related pleural disease includes the heavy calcific pleural plaques along both hemidiaphragms.

A serial follow up CTs were obtained, the last one is included show no change in bilateral calcified plaques consistent with asbestos-related pleural disease. Additional two solid pulmonary nodules within the anterior aspect of both upper lobes without change over a year consistent with round atelectasis. 

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