PMC6174764_01
CT scan of chest, showing right airspace shadowing, bronchiectasis and diffuse pleural thickening.
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fig1
Yellow discolouration of the fingernails.
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fig2
External examination revealed the presence of yellow discolouration affecting the finger- and toenails (Figure 2), along with bilateral lower leg oedema.
Diffuse pleural thickening affecting the entire visceral pleura.
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fig3
Examination of the respiratory system showed extensive bilateral pleural adhesions, diffuse visceral pleural thickening and parietal pleural plaques (Figure 3).
Basket-weave pattern of paucicellular collagen fibres in diffuse pleural fibrosis.
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fig4
Microscopical examination confirmed the presence of paucicellular hyaline collagenous plaques with 'basket-weave' pattern, bilateral diffuse pleural fibrosis composed of similarly paucicellular collagen, and occasional lymphoid aggregates (Figure 4).
Dilated septal lymphatics (asterisk in lumen).
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fig5
Septal lymphatics were noted to be markedly dilated (Figure 5).
Platy form talc crystal in contralateral lung parenchyma.
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fig6
Within the lung tissue bilaterally, remote from pleura, platy form polarisable material was seen consistent with talc particulates (Figure 6).