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Asbestos-Related Double Pleural Effusion

Imaging findings

Chest CT in a patient with history of asbestos exposure shows extensive calcified pleural plaques and diffuse pleural thickening. A newly developed, localized pleural fluid pocket has accumulated deep to the calcified visceral pleura rind.

Key takeaways

In patients with chronic pleural calcification and asbestos exposure, new loculated fluid collections can develop in atypical pockets between the thickened visceral and parietal pleura, simulating a double pleural compartment.

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