Pleural plaques

Case contributed by Gabriel Orlando González Herrera
Diagnosis almost certain

Presentation

Persistent cough. Mild dyspnoea. Works with spray paint.

Patient Data

Age: 80 years
Gender: Male

Baseline.

x-ray

Bilateral discrete calcified pleural plaques along the costal and diaphragmatic pleura but sparing the costophrenic angles.

ct

Multiple raised pleural plaques.

Lung windows (not shown) did not show fibrosis

3 years later

x-ray

Stable pleural plaques.

Large volume lungs and flattened diaphragm.

Case Discussion

Discrete calcified pleural plaques are a marker for asbestos exposure and are asymptomatic. Other complications of asbestos exposure may be present such as fibrosis (asbestosis), lung cancer or mesothelioma.

Additional contributor: Dra María José Durango De La Ossa , radiology resident at Hermanos Ameijeiras Hospital, Havana, Cuba.

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