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Asbestos Related Pleural Disease – Pleural Plaques and The Holly Leaf Sign

History: 60 year old male with shortness of breath.  Pleural plaques can be seen in numerous disease entities, and are most commonly seen in cases of prior asbestos exposure, as in this case. Other possibilities include prior empyema, hemothorax, or pleural effusion. Plaques can be mimicked by extrapleural fat. Pleural malignancies are an additional consideration, … Continue reading