Case contributed by Prof Oliver Hennessy


Left pleuritic chest pain. weight loss. Past history asbestos exposure.

Patient Data

Age: 70
Gender: Male

Large left pleural effusion. Thick pleural rind encasing total left lung and involving the left major fissure Calcified pleural plaques are present.

No mediastinal nodes. No lung mass . There are no changes of lung fibrosis.


The appearance in a patient with prior asbestos exposure are most likely due to mesothelioma,

Case Discussion

In a patient with asbestosis exposure and these CT findings mesothelioma is by far the most likely diagnosis.The presence of calcified pleural plaques strengthens this diagnosis.

In a person with no prior exposure to asbestosis similar CT findings can be seen in pleural metastases.

Pleural TB can result in marked pleural thickening encasing the lung.

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Case information

rID: 34416
Published: 16th Mar 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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