Mesothelioma

Case contributed by Dr Ahmed Abdrabou

Presentation

Dyspnea and expectoration.

Patient Data

Age: 55 years
Gender: Female

Chest

X-ray

Opaque right hemithorax sparing a small central area of areated lung.

Chest

CT

Circumferential nodular right pleural thickening involving the fissures and associated with reduced right lung volume.

Focus of right diaphragmatic pleural calcification.

Multiple left pulmonary nodules.

Right paratracheal lymphadenopathy.

Case Discussion

Diagnosis: Pleural mesothelioma with lymph nodes and contralateral pulmonary metastasis (pathologically proved)

Differential diagnosis includes: pleural metastases

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