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Contrast enhanced chest CT (soft tissue windows) obtained five months after imaging shown in (A) reveals too numerous to count new bilateral pleural nodules (arrows), consistent with progressive bilateral pleural metastatic disease, and (B) larger volume of pleural metastatic involvement in the right pleura inferiorly (arrow) with no recurrence within the previously irradiated pleura of the left costophrenic recess. CT, computed tomography.
