Pleural thickening is scarring of the lining around the lungs (the pleura) that makes it thicker and stiffer than normal. It can be localized in patches or spread more widely, and it may or may not affect breathing depending on how much of the pleura is involved. Asbestos is a well-known cause.
Origin
The term is descriptive, from the pleura (the lung's lining) plus "thickening," and comes from radiology, where the thickened membrane is visible on chest X-rays and CT scans. It has been linked to asbestos since mid-20th-century studies of exposed workers.
Significance in Asbestos Context
For someone with asbestos exposure, pleural thickening is a sign the fibers reached the lung's lining and caused scarring. Limited thickening may cause no symptoms, while widespread (diffuse) thickening can restrict the lung and cause breathlessness. It is usually a non-cancerous condition, but its presence confirms asbestos exposure and warrants ongoing monitoring, since exposure also carries a risk of mesothelioma and lung cancer years later. For a claim, imaging that documents pleural thickening, combined with an exposure history, supports a non-malignant asbestos condition and establishes exposure even if a more serious disease develops later.
Example Sentence
His chest X-ray showed pleural thickening, confirming past asbestos exposure and prompting yearly monitoring for more serious disease.
Related Terms
Diffuse Pleural Thickening, Pleural Plaques, Pleura, Asbestosis, Pulmonary Function Test, Mesothelioma
Notes
- Ask whether the thickening is localized or diffuse; diffuse thickening is more likely to affect breathing and lung function.
- Keep copies of all chest imaging; comparing scans over time shows whether the condition is stable or progressing.
- Even if you feel well, ask about a monitoring schedule, since asbestos exposure carries long-term risk of cancer.
In the research library
300 studies in our medical research library mention Pleural Thickening in the title or abstract. Among the most cited:
- Pleural thickening: its significance and relationship to asbestos dust exposureS.M. Albelda, D.M. Epstein, W.B. Gefter, et al, 1982 · The American Review of Respiratory Disease · cited 41 times
- Bilateral pleural thickening: a manifestation of asbestos dust exposureE.N. Sargent, J. Gordonson, G. Jacobson, et al, 1978 · AJR. American Journal of Roentgenology · cited 35 times
- US prevalence of occupational pleural thickening. A look at chest X-rays from the first National Health and Nutrition Examination SurveyW.J. Rogan, B.C. Gladen, N.B. Ragan, et al, 1987 · American Journal of Epidemiology · cited 27 times
- Asbestos-related pleural thickening: effect of threshold criteria on interpretationR. Greene, C. Boggis, H. Jantsch, 1984 · Radiology · cited 27 times
- Natural history of pleural thickening after exposure to crocidoliteN.H. de Klerk, W.O. Cookson, A.W. Musk, et al, 1989 · British Journal of Industrial Medicine · cited 26 times
The journals that publish most on it: American Journal of Industrial Medicine (18), Chest (11), Curēus (11).
Category: Diseases & Conditions · All Lexicon terms A–Z
This page is provided for general informational purposes and does not constitute legal advice. Every asbestos case turns on its own facts, exposure history, diagnosis, deadlines, available evidence, and applicable law. Reviewing this page does not create an attorney-client relationship. For advice about your specific situation, call 833-4-ASBESTOS for a free case review.