Calcified pleural plaque

Diagnosis almost certain

Presentation

Complaining of breathlessness and chest pain since the last week

Patient Data

Age: 85 years
Gender: Male
x-ray

X-ray chest pa view shows diffuse pleural thickening with calcification in right hemithorax with obliteration of right costophrenic angle. Mild cardiomegaly is seen. Scoliosis of the dorsal spine is seen.

Case Discussion

 

Calcification of pleura most commonly occurs due to previous hemothorax,  empyema, or asbestosis.

In asbestosis, costophrenic angles and apices are typically spared. 

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