GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Holly leaf sign

Case contributed by Safwat Mohammad Almoghazy
Diagnosis certain

Presentation

Staging studies for prostate cancer

Patient Data

Age: 70 years
Gender: Male
x-ray

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.

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.