Contribution:
Dr Melanie Lau
Patient data: 74-year-old Male
Presentation: Follow up calcified pleural plaques
Commentary: Pleural calcification missed on original CT calcium scoring
Follow up CT states "calcified pleural plaques, in keeping with previous asbestos exposure"
No history in background to state previous asbestos exposure or known plaques.
Current CT shows a large volume pleural calcification of relatively uniform thickness of the dependent right lung. No left pleural calcification.
No asbestosis.
Sheet-like rather than plaque-like.
Note slightly reduced lung volume.
Diagnosis:
Fibrothorax - likely from previous pleural infection.
Points of Note:
Asbestos plaques are usually bilateral and plaque-like
May have asbestosis
May have round atelectasis
Check for history of exposure
References:
Comments