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Fig. 1C. —59-year-old man with malignant pleural mesothelioma with osteoblastic heterologous elements. Unenhanced CT scan (mediastinal window setting), obtained 3 years later at same level as A, shows increase in pleural thickening spreading into chest wall (arrow) associated with two coarse calcifications (arrowheads) that were situated close to mediastinal pleura and into right paratracheal space. These calcifications may be due to direct tumoral extension, because of their continuity with mass, although it is not possible to formally exclude enlarged calcified lymph node in region 4R.





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