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