Holly leaf sign

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Staging studies for prostate cancer

Patient Data

Age: 70 years
Gender: Male
Modality: X-ray

PA view Chest x-ray findings :

Calcified pleural plaques are seen. No definite suspicious pulmonary nodules.

Both costopherenic angles are clear.

Normal cardiac size and shape.

Pleural plaques are asymptomatic and incidentally found on radiography of the chest.

Modality: CT

Multiple bilateral calcified pleural plaques confirming CXR findings. 
No overt suspicious parenchymal pulmonary nodules.
No significant mediastinal, hilar or axillary lymph nodes.
No pleural effusion.

Case Discussion

Calcified pleural plaques are asymptomatic and incidentally found on radiography of the chest.

The holly leaf sign refers to the appearance of pleural plaques on chest x-rays. Their irregular thickened nodular edges are likened to the appearance of a holly leaf.

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Case Information

rID: 50690
Case created: 17th Jan 2017
Last edited: 18th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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