title: Malignant pleural and peritoneal mesothelioma consequential to brief indirect asbestos exposure.
abstract: This report highlights that pleural and peritoneal mesothelioma can occur without direct asbestos exposure as was seen in our young patient. The patient had indirect exposure for as short as 3 months as a child, 15 years earlier, when she was residing with her miner father in the district of Jharia, Jharkhand, which is an asbestos-rich mining area in eastern India. The patient presented with chest pain and breathlessness. Chest X-ray showed opaque right hemithorax. Typical contrast- computed tomography (CECT) enhanced radiological features included nodular, soft-tissue attenuation and homogenously enhancing rind-like mass causing scalloping of the underlying lung and liver. Similar lesions were also found involving the pelvis. Diagnosis of malignant mesothelioma was confirmed on lung biopsy. Under-reporting of exposure is usual because it is unrecognized by both patients and investigators.
authors.affiliation: Department of Radiology, ESI Model Hospital and Post-Graduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India.
authors.forename: Bharati
authors.initials: B
authors.lastname: Singhal
authors.affiliation: Department of Radiology, ESI Model Hospital and Post-Graduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India.
authors.forename: Supreethi
authors.initials: S
authors.lastname: Kohli
authors.affiliation: Department of Radiology, ESI Model Hospital and Post-Graduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India.
authors.forename: Anu
authors.initials: A
authors.lastname: Singhal
authors.affiliation: Department of Radiology, ESI Model Hospital and Post-Graduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Kumar
keywords: Asbestos; contrast-enhanced computed tomography; mesothelioma; pleural