Ipsilateral pleural metastases - carcinoma of the breast
Acute shortness of breath. PH breast malignancy treated with surgery and radiotherapy
Study performed as CTPA since patient was acutely short of breath
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Large left pleural effusion with multiple soft tissue denisty, pleurally based nodules of tumour. Note only on the left side (site of breast cancer).
Breast cancer seems to be able to spread into the pleural cavity on the same side (ipsilateral) probably via chest wall lymphatics. These parietal pleura-based nodules cause a reactive effusion requiring percutaneous drainage and pleurodesis to prevent reaccumulation.