EURORAD ESR

Case 10569

Miliary pulmonary metastases from mesothelioma (miliary mesothelioma)

Author(s)
Yuranga Weerakkody

Department of Radiology,
SCGH, NMAHS;
Hospital Avenue, Nedlands,
Perth, 6009 Australia
(FRANZCR)
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Serial chest radiographs
     

    Initial chest radiograph (6 months prior to admission) demonstrates circumferential pleural thickening involving the left hemithorax associated with lung retraction.

     
    Area of Interest: Thorax; Imaging Technique: Digital radiography; Procedure: Education; Special Focus: Pathology;

    Chest radiograph during current admission (6 months later) demonstrates significantly greater volume loss and pleural thickening of the left hemithorax. Numerous miliary micronodules throughout the lungs are noted...

     
    Area of Interest: Thorax; Imaging Technique: Digital radiography; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Serial CT Chest examination
     

    Initial chest CT examination (6 months prior to admission) shows circumferential pleural thickening with retraction of the left hemithorax in keeping with the known mesothelioma. There is no evidence of chest wall or...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    CT examination during current admission (6 months later) demonstrates significantly greater circumferential pleural thickening of the left hemithorax with interlobular septal thickening. Numerous small miliary...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    CT examination two weeks later during admission demonstrates even greater circumferential pleural thickening of the left hemithorax and increase in number of the miliary type nodules within the contralateral (right)...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
Initial chest radiograph (6 months prior to admission) demonstrates circumferential pleural thickening involving the left hemithorax associated with lung retraction.
 
Chest radiograph during current admission (6 months later) demonstrates significantly greater volume loss and pleural thickening of the left hemithorax. Numerous miliary micronodules throughout the lungs are noted bilaterally.
 
Initial chest CT examination (6 months prior to admission) shows circumferential pleural thickening with retraction of the left hemithorax in keeping with the known mesothelioma. There is no evidence of chest wall or contralateral lung involvement
 
CT examination during current admission (6 months later) demonstrates significantly greater circumferential pleural thickening of the left hemithorax with interlobular septal thickening. Numerous small miliary micronodules within the contralateral (right) lung are also noted.
 
CT examination two weeks later during admission demonstrates even greater circumferential pleural thickening of the left hemithorax and increase in number of the miliary type nodules within the contralateral (right) lung.
 
 
 
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