Holly leaf pleural plaques
Shortness of breath. Previous manual laborer. History of coronary artery bypass graft.
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Multiple bilateral calcified pleural plaques of 'leaf-like' appearance, with a central predominance.
Pleural plaques are invariably due to prolonged exposure to asbestos. For this reason, men are mainly affected due to the nature of the traditional blue-collar jobs in which those exposed were employed.
The plaques can take on a holly leaf appearance (holly leaf sign).