A 71 year old man retired plumber is admitted from respiratory clinic
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is a right sided hydropneumothorax with lobulated pleural thickening over the lateral and posterior chest wall.
The left side of the chest is clear.
This is malignant pleural disease and most likely to be mesothelioma, given his asbestos exposure as a plumber.
The risk of developing mesothelioma is (asbestos) dose dependent (i.e. higher exposure, higher risk).
Time since first exposure is also important – latency following first exposure can be up to at least 50 years.