Presentation
Work up for prolonged standing breath shortness and cough.
Patient Data
Significant pleural thickening and calcification are visible in the right hemithorax, more prominent at the inferolateral aspect.
Atelectatic opacities are seen in the bases of the lungs, especially on the right side.
Pleural thickening and coarse calcification are seen at the inferolateral aspect of the right hemithorax.
Several small nodules, less than 8 mm, are scattered at both lungs, which seem to be fibrotic nodules.
There are also several atelectatic bands scattered bilaterally.
A small amount of pleural effusion is present bilaterally.
Degenerative changes such as osteophytosis are seen in the thoracic spine.
Scoliosis with rightward convexity is present in the thoracic spine.
In imaged portions of the upper abdomen, linear calcification is present at the lateral aspect of the spleen.
Case Discussion
Pleural calcification can result from a wide range of pathologies, such as pyothorax/empyema, tuberculous pleuritis, hemothorax and calcified pleural plaques from asbestos exposure.
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