Pleural fibroma

Case contributed by Dr Nafisa Shakir Batta

Presentation

Patient had mild respiratory discomfort on climbing stairs.

Patient Data

Age: 35
Gender: Male
X-ray

Opacification of the left hemithorax and right-to-left mediastinal shift with tracheal deviation. 

CT

A very large well defined mass lesion of left pleura occupying the left hemithorax causing contralateral cardiomediastinal shift. The lesion appears hypovascular, with enhancing margins and internal lobulations, septations, and few calcific specks.

Minimal left pleural free fluid was also noted.

Dilated tortous engorged posterior paraaortic collateral vessels are seen.

Case Discussion

 Findings are unchanged from CT that was performed six months prior.

CT biopsy showed a very acellular tumour, showing only collagen fibrils. A second biopsy was performed and revealed reticulin foci, with collagen and few spindle cells. Histopathology is consistent with pleural fibroma.

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Case information

rID: 24007
Case created: 23rd Jul 2013
Last edited: 18th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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