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Senile visceral pleural calcification

Imaging findings

CT and radiographs show chronic, stable, thin, wavy calcifications outlining the visceral pleura at the lung apices bilaterally, in the absence of volume loss or parenchymal fibrosis.

Key takeaways

Apical pleural calcification is a benign, age-related degenerative finding in elderly patients (e.g. 90-year-olds). It is caused by chronic mechanical tension and stretch at the lung apices and should be distinguished from prior tuberculosis or PPFE.

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