Fibrotic pleura with extensively ulcerated mesothelium and replacement by fibrinous deposits, capillary proliferation, interstitial hemorrhage and marked infiltration by lymphocytes, plasma cells and many neutrophils, cell debris with and related dense fibrosis. No evidence of granulomatous inflammation. No evidence of malignancy.
Pleural decortication.
Soft tissue fragments collectively measured 9.5x7x1 cm, the largest measuring 7x4.5x0.8 cm.
Pleural decortication: