case_images: PMC6174764_01
case_images: CT scan of chest, showing right airspace shadowing, bronchiectasis and diffuse pleural thickening.
case_images: CRIPU2018-7302898.001.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.001.jpg
case_images: fig1
case_images: Yellow discolouration of the fingernails.
case_images: CRIPU2018-7302898.002.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.002.jpg
case_images: fig2
case_images: External examination revealed the presence of yellow discolouration affecting the finger- and toenails (Figure 2), along with bilateral lower leg oedema.
case_images: Diffuse pleural thickening affecting the entire visceral pleura.
case_images: CRIPU2018-7302898.003.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.003.jpg
case_images: fig3
case_images: Examination of the respiratory system showed extensive bilateral pleural adhesions, diffuse visceral pleural thickening and parietal pleural plaques (Figure 3).
case_images: Basket-weave pattern of paucicellular collagen fibres in diffuse pleural fibrosis.
case_images: CRIPU2018-7302898.004.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.004.jpg
case_images: fig4
case_images: Microscopical examination confirmed the presence of paucicellular hyaline collagenous plaques with 'basket-weave' pattern, bilateral diffuse pleural fibrosis composed of similarly paucicellular collagen, and occasional lymphoid aggregates (Figure 4).
case_images: Dilated septal lymphatics (asterisk in lumen).
case_images: CRIPU2018-7302898.005.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.005.jpg
case_images: fig5
case_images: Septal lymphatics were noted to be markedly dilated (Figure 5).
case_images: Platy form talc crystal in contralateral lung parenchyma.
case_images: CRIPU2018-7302898.006.jpg
case_images: PMC6174764_01_CRIPU2018-7302898.006.jpg
case_images: fig6
case_images: Within the lung tissue bilaterally, remote from pleura, platy form polarisable material was seen consistent with talc particulates (Figure 6).