PMC9851092_01
Thoracic X-ray at first ED admission. Thoracic radiography with no evident lesions but with a very small pleural effusion on the right side
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FIG1
The chest radiography (Figure 1) showed a very small and free pleural effusion on the right side.
Thoracic X-ray at internal medicine admission. Thoracic radiography with medium-sized right-side pleural effusion and disease progression
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FIG2
One month after the first episode, on another admission to the ER, the thoracic radiography (Figure 2) showed a medium-sized pleural effusion on the right side, and a thoracentesis was performed, which revealed a yellow effusion with exudate characteristics.
PET scan showing right-side pleural involvement
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FIG3
Thoracic X-ray after thoracocentesis
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FIG4
The case was then also discussed with the pulmonology department, and a pleural biopsy and a therapeutic thoracentesis were performed (Figure 4).
Thoracic CT scan during hospitalization showing rapid progression
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FIG5
Thoracic CT was repeated (Figure 5) and showed rapid progression with the appearance of multiple solid masses in the pleura and right pleural space with a small localized pleural effusion, supporting the hypothesis of mesothelioma.
Thoracic CT scan showing almost full involvement on the right side
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FIG6
However, she showed exponential progression of the disease (Figure 6) and died two months after diagnosis.