Fibrothorax - calcified

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Chest pain.

Patient Data

Age: 80
Gender: Male
x-ray

Volume loss on the left with thick pleural calcification. 

ct

Thick sheet-like calcification along the left lateral pleural surface with associated left sided volume loss. No right sided pleural calcification. 

Case Discussion

Sheet-like calcification represents calcified fibrothorax, which has a variety of causes such as prior tuberculous empyema, hemothorax or asbestos exposure. The cause is not known in this case but given its sheet-like quality, unilateral distribution and lack of rib fractures prior tuberculous empyema is favored. 

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