CTICasesBilateral pleural mesothelioma
Imaging findings
Chest CT and PET scan show loculated bilateral pleural effusions, soft tissue pleural thickening, and diffuse FDG uptake along the diaphragm and intercostal muscles, with chest wall invasion confirmed by biopsy.
Key takeaways
Pleural mesothelioma can present with extensive bilateral pleural disease and chest wall invasion. Direct biopsy of the chest wall invasion is often required for diagnosis when pleuroscopy is unsuccessful due to dense pleural adhesions.
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