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Mesothelioma with BAP1 Mutation

Imaging findings

Unexplained right-sided pleural effusion with subtle pleural thickening and internal mammary lymphadenopathy in a 44-year-old female without asbestos exposure.

Key takeaways

Mesothelioma occurring in young, non-exposed patients should prompt investigation for a BAP1 tumor suppressor gene mutation. This mutation is associated with a spectrum of tumors, including uveal melanoma and renal cell carcinoma.

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