This patient also reported a history of pleurodesis (unclear which type - mechanical or chemical) performed in a foreign country. As such, it is important to consider the radiographic changes, though non-specific, that may occur post pleurodesis. These include, pleural thickening, nodularity, and pleural effusion which may mimic malignancies. Further, the mediastinum may shift towards the side of pleurodesis which may be misinterpreted as a sign of tensioning ¹.

This case highlights the importance of a systemic approach to evaluating the pleura and parenchyma of the lungs to ensure no subtle findings are missed or misinterpreted.