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Pleural calcification with persistent effusion.

W G Schmitt, K H Hübener, H C Rücker

    Radiology
    |December 1, 1983
    PubMed
    Summary
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    Calcified pleurae can cause chronic pleural effusions. Imaging findings, including pleural thickening and separation of pleural layers, aid in diagnosis. Computed tomography (CT) and sonography help detect persistent effusions.

    Area of Science:

    • Medical Imaging
    • Pulmonology
    • Radiology

    Background:

    • Pleural calcification, involving both parietal and visceral layers, can lead to chronic persistent pleural effusions.
    • Radiographic findings include pleural thickening and separation of pleural layers, which may appear as multiple linear densities.
    • Calcified fibrothorax is characterized by a layer of fat separating the calcified parietal pleura from the thoracic wall.

    Purpose of the Study:

    • To investigate the occurrence and imaging characteristics of chronic persistent pleural effusions in patients with pleural calcification.
    • To evaluate the role of computed tomography (CT) and sonography in detecting persistent pleural effusions.

    Main Methods:

    • Retrospective analysis of 140 patients with pleural calcification.

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  • Radiographic, CT, and sonographic imaging review.
  • Correlation of imaging findings with the presence or absence of pleural effusions.
  • Main Results:

    • Chronic persistent pleural effusions were identified in 22 out of 140 patients (15.7%).
    • Radiographic findings suggestive of effusion included separation of pleural layers and pleural thickening (>2 cm).
    • CT and sonography demonstrated utility in detecting persistent effusions.

    Conclusions:

    • Pleural calcification is associated with chronic persistent pleural effusions.
    • Characteristic radiographic findings can suggest the presence of effusions.
    • CT and sonography are valuable tools for the detection and characterization of persistent pleural effusions in this patient group.