CTICasesEpithelioid Mesothelioma
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Imaging findings
A patient with asbestos exposure presented with a large pleural effusion. CT showed circumferential, nodular, and undulating pleural thickening constricting the lung, involving the mediastinal pleura. PET-CT demonstrated intense, diffuse hypermetabolism throughout the pleural surface, characteristic of epithelioid mesothelioma.
Key takeaways
Epithelioid mesothelioma typically presents as diffuse, circumferential, and nodular pleural thickening. PET-CT is an excellent modality for evaluating the full extent of disease given the intense uptake associated with malignant pleural involvement.
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