PMC6735217_01
Contrast enhanced computed tomography of chest.
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fig1
A contrast computed tomography (CT) scan (Figure 1) demonstrated bilateral multiple sub-centimetre nodules, mild interlobular septal thickening, and left sided pleural effusion with plate like atelectasis in the left lower lobe.
Bronchoscopy view of airway anthracosis.
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fig2
Left lower lobe bronchus was narrowed due to anthracotic pigmentation (Figure 2).
(a) Pleural anthracosis (parietal) view with thoracoscope. (b) Pleural anthracosis (visceral) view with thoracoscope.
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fig3
In view of undiagnosed exudative left sided pleural effusion, semi-rigid pleurovideoscopy was done, which revealed diffuse black coloured deposits over visceral pleura and focally scattered deposits over parietal pleura (Figures 3(a) and 3(b)).
Histopathological features of pleural anthracosis.
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fig4
Histopathological examination was consistent with Pleural Anthracosis (Figure 4).