CT
CT confirms multiple solid pleural based masses throughout the right hemithorax.
The largest continuous mass extends along the anterior pleural surface to involve the mediastinum and invades the chest wall.
No rib invasion.
Fissural nodules also noted.
Moderate sized right pleural effusion.
The circumferential nature of the disease in the right hemithorax is suggestive of mesothelioma. An 8 mm right axillary lymph node is noted.
No enlarged supraclavicular, mediastinal or hilar lymph nodes.
No left-sided pulmonary nodules.
Unilateral discontinuous solid pleural masses invading the chest wall and mediastinum, suggestive of mesothelioma.