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Pleural Calcification and Round Atelectasis

Imaging findings

Extensive pleural calcification with a thickened subpleural fat layer and round atelectasis. Hyperostosis of the inner cortex of the ribs is visible.

Key takeaways

The thickened "stripe" often seen is actually hypertrophied fat pulled inward by pleural tethering; rib hyperostosis is a helpful sign of a chronic pleural process.

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