Radiation-induced liver injury and foreign body reaction secondary to the diaphragmatic Teflon patch in an operated malignant pleural mesothelioma patient: CT, MRI and PET-CT findings

Malignant pleural mesothelioma (MPM) is a relatively rare tumor which is often associated with occupational asbestos exposure or environmental erionite exposure. Trimodal therapies consisting a combination of surgical resection and adjuvant treatments seem to be a better therapeutic option for patients with unresectable MPM. In resected cases, because of the close proximity of the liver to the pleural space, postoperative radiation injury of the liver cannot be completely avoided. We report here a case of MPM with computed tomography and magnetic resonance findings of radiation-induced liver injury and positron emission tomography-computed tomography findings of foreign body reaction secondary to diaphragmatic Teflon patch, after right extrapleural pneumonectomy, postoperative radiation therapy and adjuvant chemotherapy.