CXR Case 097

A 64 year old lady presents to the respiratory team with a 3 month history of progressive dyspnoea, chest pain and weight loss.

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Describe and interpret this CXR and CT chest

IMAGE INTERPRETATION

CXR Interpretation:
There is encasement of the right lung from pleural thickening in the right hemithorax with volume loss.
The left pleura is normal. There is a nipple shadow on the left.

CT Interpretation:
CT chest demonstrates circumferential pleural thickening.


CLINICAL CORRELATION

This is characteristic of malignant pleural mesothelioma.


CLINICAL PEARLS

This lady was a shop worker with no occupational exposure to asbestos; her husband was a carpenter – she was exposed to asbestos while washing his work overalls (‘para-occupational‘ exposure).


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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