Case contributed by Dr Vikas Shah


Progressive shortness of breath over many months. Previous occupations include ship-building.

Patient Data

Age: 65 years
Gender: Male

Chest x-ray

The right lung is encased by a rind of tissue, nodular in parts. The tissue is seen along the lateral thoracic margin and the medial mediastinal surface. Normal left hemithorax. No bone destruction.

Case Discussion

Given the history which implies exposure to asbestos, this type of encasing pleural thickening is almost pathognomonic of mesothelioma, and the biopsies confirmed this to be the case. Lymphoma and pleural metastases from breast and lung cancer can also cause this pattern.

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Case information

rID: 57005
Published: 2nd Dec 2017
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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