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Imaging plays an important role in the diagnosis and subsequent management of patients with pleural disease. The presence of a pleural abnormality is usually suggested following a routine chest x-ray, with a number of imaging modalities available for further characterization. This article describes the radiographic and cross-sectional appearances of pleural diseases, which are commonly encountered in every day practice. The conditions covered include benign and malignant pleural thickening, pleural effusions, empyema and pneumothoraces. The relative merits of CT, MRI and PET in the assessment of these conditions and the role of image-guided intervention are discussed.

Original publication




Journal article


Clin Chest Med

Publication Date





193 - 213


Biopsy, Humans, Magnetic Resonance Imaging, Mesothelioma, Pleural Diseases, Pleural Effusion, Pleural Neoplasms, Pneumothorax, Pulmonary Atelectasis, Radiographic Image Enhancement, Tomography, X-Ray Computed