A 74-year-old retired shipyard worker presents with progressive dyspnea and recurrent unilateral pleural effusions. Vital signs show BP 138/82 mmHg, HR 92/min, RR 22/min, SpO2 88% on room air. CT chest reveals diffuse pleural thickening encasing the lung with pleural calcification. Chest X-ray shows no parenchymal masses. He denies fever or hemoptysis. Which of the following is the most likely diagnosis?
- A)Pulmonary embolism
- B)Bronchogenic carcinoma
- C)MesotheliomaGABARITO
- D)Asbestosis
- E)Pleural effusion
Explicação
Mesothelioma is correct. Asbestos exposure from shipyard work with recurrent unilateral pleural effusions and diffuse pleural thickening strongly suggests malignant mesothelioma. This is a pleural malignancy distinct from the interstitial fibrosis of asbestosi... Ver explicação completa e trilha adaptativa →