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QJM Advance Access originally published online on October 3, 2005
QJM 2005 98(11):837; doi:10.1093/qjmed/hci131
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© The Author 2005. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Clinical picture

Lung whiteout with normal chest signs

D.K.C. Lee, Dr, G.K.J. Sleat, Dr and P.S. Borade, Dr

Department of Internal Medicine, Ipswich Hospital, Ipswich, UK.

email: dkclee{at}doctors.org.uk

{hci131i1}

This 72-year-old man presented with a history of headache. Chest examination was unremarkable. Routine chest X-ray revealed a complete whiteout of the left hemithorax. Further imaging and ultrasound of the chest failed to demonstrate the presence of fluid, but there was extensive pleural thickening. Biopsy of pleural tissue showed histology consistent with advanced mesothelioma, and the patient had a previous history of asbestos exposure.

Complete whiteout of the lung is not always synonymous with either a massive pleural effusion or complete collapse of the lung. A high index of suspicion is required for this unusual cause of a complete lung whiteout, especially in the absence of any chest signs.


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This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
98/11/837    most recent
hci131v1
Right arrow Alert me when this article is cited
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Google Scholar
Right arrow Articles by Lee, D.K.C.
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Right arrow Articles by Borade, P.S.
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