Pleural calcification

Case contributed by Dr Saikat Sarkar

Presentation

Cough and chest discomfort.

Patient Data

Age: 45 years
Gender: Male
X-ray

Chest x-ray PA view showing a unilateral sheet (or plaque) of calcification with irregular thickened nodular edges overlying right mid and lower thoracic region. The plaque does not follow the rib or diaphragm contours. It is much thicker and denser than usual for asbestos. Right costophrenic angle also obtuse likely due to pleural thickening.

Case Discussion

The chest x-ray findings much more consistent with calcific pleuritis secondary to prior tuberculous empyema or prior hemothorax. The plaque does not follow the rib or diaphragmatic contours, it is much thicker and denser than usual for asbestos, and it is unilateral.

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Case information

rID: 44654
Case created: 30th Apr 2016
Last edited: 25th Sep 2016
System: Chest
Tag: rapids
Inclusion in quiz mode: Included

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