CTICasesPleural Metastasis in a patient with Asbestos-related Pleural Plaques
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
Prior imaging showed large, bilateral 'tumefactive' pleural plaques, with larger anterior plaques, consistent with asbestos exposure. Recent imaging demonstrates new and enlarging nodules along all pleural surfaces, including the visceral pleura and fissures, which were absent on prior studies. The patient has a history of colon cancer with hepatic metastatic disease.
Key takeaways
In a patient with pre-existing benign asbestos-related pleural plaques (typically parietal), the appearance of new or enlarging nodules along the visceral pleura or fissures should raise suspicion for pleural metastasis, especially in the setting of known malignancy. Differentiating these from benign plaques is crucial for accurate staging and management.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Lupus with Cystic Lung Destruction (mimicking honeycombing)ILD
- Myocarditis / PericarditisInflammatory
- Duchenne Muscular Dystrophy with Dilated CardiomyopathyCongenital
- Bleomycin-induced Lung InjuryILD
- Allergic Bronchopulmonary Aspergillosis (ABPA)Inflammatory
- Tracheobronchomalacia with Lunate TracheaOther
- Segmental Arterial Medialysis (SAM)Vascular
- Sjogren's Syndrome with NSIP, Follicular Bronchiolitis, and Cysts (mimicking honeycombing)ILD
See all cases from February 5, 2016 →
Related Neoplastic cases
- Intramyocardial Lipoma Detected by Tissue Mapping
- Adenocarcinoma of the Lung with Adrenal Metastasis
- Metastatic Meningioma to the Lung
- Coexisting Langerhans Cell Histiocytosis and Growing Pulmonary Hamartoma
- Acute Onset Langerhans Cell Histiocytosis in an Elderly Smoker
- Multifocal Ground-Glass Adenocarcinoma with Unexpected High FDG Uptake