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.

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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).
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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).
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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 (360680 H)
(arrows) in right lung base.
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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).
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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 (90167 H) (arrows) in pleura that are less dense than
expected for bone.
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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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Copyright © 2006 by the American Roentgen Ray Society.