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Bilateral mobile thoracolithiasis.

Rajesh Bhayana1, Yingming Amy Chen2, Djeven Parameshvara Deva2

  • 1Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Journal of Radiology Case Reports
|November 27, 2014
PubMed
Summary
This summary is machine-generated.

Thoracolithiasis, or mobile pleural stones, are rare and benign findings. Modern imaging like CT scans helps avoid unnecessary interventions for these mobile pulmonary nodules.

Keywords:
Thoracolithiasisbilateralpleural calcificationpleural stonethoracic disease

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Area of Science:

  • Pulmonology and Radiology

Background:

  • Thoracolithiasis is defined as freely mobile pleural stones within the pleural space, occurring in less than 0.1% of cases.
  • Historically, thoracolithiasis has been associated with unnecessary interventions due to diagnostic challenges.

Observation:

  • This review examines the imaging characteristics of a rare instance of bilateral mobile thoracolithiasis.
  • The case highlights the appearance of these mobile pleural stones on advanced imaging modalities.

Findings:

  • Thoracolithiasis presents as mobile peripheral pulmonary nodules, with or without calcification.
  • Multidetector computed tomography (CT) is crucial for accurate diagnosis and differentiation from other conditions.

Implications:

  • Thoracolithiasis should be considered in the differential diagnosis of mobile peripheral pulmonary nodules.
  • Awareness of imaging features can prevent misdiagnosis and unnecessary invasive procedures.
  • The benign nature of thoracolithiasis means no intervention is typically required.