Presentation
Shortness of breath. Previous manual laborer. History of coronary artery bypass graft.
Patient Data
Age: 70 years
Gender: Male
From the case:
Holly leaf pleural plaques
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Multiple bilateral calcified pleural plaques of 'leaf-like' appearance, with a central predominance.
Hyperinflated lungs.
Case Discussion
Pleural plaques are invariably due to prolonged exposure to asbestos. For this reason, men are mainly affected due to the nature of the traditional blue-collar jobs in which those exposed were employed.
The plaques can take on a holly leaf appearance (holly leaf sign).