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CT of Pleural Abnormalities in Lymphangioleiomyomatosis and Comparison of Pleural Findings After Different Types of Pleurodesis

Nilo A. Avila1, Andrew J. Dwyer1, Antoinette Rabel2, Rosamma M. DeCastro2 and Joel Moss2

1 Department of Diagnostic Radiology, Warren G. Magnuson Clinical Center, Bldg. 10, Rm. 1C-660, 10 Center Dr., MSC 1182, Bethesda, MD 20892-1182.
2 Pulmonary-Critical Care Medicine Branch, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda, MD.


Figure 1
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Fig. 1 —39-year-old woman who had had right empyema, right thoracentesis, and right thorascopic biopsy (arrow on surgical clip) but no previous pleurodesis. Transverse contrast-enhanced CT image through lung bases shows extensive right pleural thickening (arrowheads).

 

Figure 2
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Fig. 2 —49-year-old woman who had had right chemical pleurodesis. Transverse contrast-enhanced CT image through lung bases shows large enhancing right pleural mass (arrows).

 

Figure 3
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Fig. 3 —41-year-old woman who had had bilateral talc pleurodesis. Transverse contrast-enhanced CT image through lung bases shows extensive bilateral pleural thickening and bonelike calcification (360–680 H) (arrows) in right lung base.

 

Figure 4
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Fig. 4 —44-year-old woman with no history of pleurodesis but had had thoracentesis and thoracostomy for recurrent chylous pleural effusions. Transverse unenhanced CT image through lung bases shows right pleural mass (arrow).

 

Figure 5
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Fig. 5 —35-year-old woman who had had bilateral chemical pleurodesis and left talc pleurodesis. Transverse contrast-enhanced CT image through lung bases shows left pleural thickening and areas of increased-attenuation material (90–167 H) (arrows) in pleura that are less dense than expected for bone.

 

Figure 6
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Fig. 6 —40-year-old woman who had had right mechanical and left chemical pleurodesis. Transverse contrast-enhanced CT image through lung bases shows round parenchymal consolidation (arrow) in left lung base adjacent to abnormal pleura consistent with rounded atelectasis and bilateral pleural thickening.

 

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