case_images: PMC9851092_01
case_images: Thoracic X-ray at first ED admission. Thoracic radiography with no evident lesions but with a very small pleural effusion on the right side
case_images: cureus-0015-00000033965-i01.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i01.jpg
case_images: FIG1
case_images: The chest radiography (Figure 1) showed a very small and free pleural effusion on the right side.
case_images: Thoracic X-ray at internal medicine admission. Thoracic radiography with medium-sized right-side pleural effusion and disease progression
case_images: cureus-0015-00000033965-i02.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i02.jpg
case_images: FIG2
case_images: One month after the first episode, on another admission to the ER, the thoracic radiography (Figure 2) showed a medium-sized pleural effusion on the right side, and a thoracentesis was performed, which revealed a yellow effusion with exudate characteristics.
case_images: PET scan showing right-side pleural involvement
case_images: cureus-0015-00000033965-i03.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i03.jpg
case_images: FIG3
case_images: Thoracic X-ray after thoracocentesis
case_images: cureus-0015-00000033965-i04.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i04.jpg
case_images: FIG4
case_images: The case was then also discussed with the pulmonology department, and a pleural biopsy and a therapeutic thoracentesis were performed (Figure 4).
case_images: Thoracic CT scan during hospitalization showing rapid progression
case_images: cureus-0015-00000033965-i05.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i05.jpg
case_images: FIG5
case_images: Thoracic CT was repeated (Figure 5) and showed rapid progression with the appearance of multiple solid masses in the pleura and right pleural space with a small localized pleural effusion, supporting the hypothesis of mesothelioma.
case_images: Thoracic CT scan showing almost full involvement on the right side
case_images: cureus-0015-00000033965-i06.jpg
case_images: PMC9851092_01_cureus-0015-00000033965-i06.jpg
case_images: FIG6
case_images: However, she showed exponential progression of the disease (Figure 6) and died two months after diagnosis.