Presentation
Cough and chest discomfort.
Patient Data
Age: 45 years
Gender: Male
From the case:
Pleural calcification
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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.