Fibrotic pleura with extensively ulcerated mesothelium and replacement by fibrinous deposits, capillary proliferation, interstitial hemorrhage and infiltration by neutrophils, lymphocytes and plasma cells with related dense fibrosis. No evidence of specific granulomas. No evidence of malignancy.
Rt thoracotomy and decortication.
Soft tissue fragments collectively measured 3.5x2.5x0.5 cm, totally embedded.
Rt . Pleural decortication: