Calcified pleural plaques

Case contributed by Dr Bruno Di Muzio

Presentation

Cough.

Patient Data

Age: 88-year-old
Gender: Male

Chest radiographs

Modality: X-ray

Multiple calcified pleural plates demonstrated bilaterally. No convincing evidence of pulmonary consolidations or pleural effusions. Cardiomediastinal contours are unremarkable. No pneumothorax or subphrenic free gas.

Case Discussion

The lesions are typical for pleural calcification, and better characterised when assessed on the lateral views over the diaphragm. 

Only with the frontal view the differentials may be broad and include infection or metastatic disease. Correlation with previous imaging has revealed stability of the findings for more than 10 years. 

Pleural plaques, although nonspecific, correspond to the most frequent radiographic manifestation of asbestos exposure. 

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Case Information

rID: 45303
Case created: 20th May 2016
Last edited: 21st May 2016
System: Chest
Inclusion in quiz mode: Included

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