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63year old male presented with Pleural effusion. He was referred to Tata Memorial Hospital for management. Patient had no history of Smoking or alcohol. Treated with AKT and antibiotics for cough and chest pain, but did not respond.

 Chest X-ray:   Irregular lesion with spiculated margins in the right hilar region with   
                        fibrotic strands. Right sided pleural effusion.

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Choose an alternative:*
1
 Atypical mesothelial proliferation – suspect mesothelioma
2

Reactive mesothelial cells – no malignancy

3

Metastatic Adenocarcinoma
4

Metastatic Squamous carcinoma

                                                                                  

 
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