Holy Leaf pleural plaques

Case contributed by Chitani Mbewe
Diagnosis certain


Previous manual laborer with shoulder pain and shortness of breath.

Patient Data

Age: 65
Gender: Male



Multiple bilateral symmetric pleural calcified plaques demonstrating an irregualr nodular 'Holly leaf-like' appearance.

Case Discussion

 Calcified "holly leaf" pleural plaques occur as a consequence of prior prolonged exposure to asbestos, usually in an occupational setting.  

The distribution of pleural thickening and plaques is helpful in determining etiologic cause, with a symmetric distribution favoring asbestos-related disease, whereas asymmetric involvement is less likely asbestos-related.




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