11th January 2024

A 57-year-old plumber is referred to the respiratory clinic due to an abnormal X-ray.

A 57-year-old plumber is referred to the respiratory clinic due to an abnormal X-ray. He is currently being worked up for a diagnosis of COPD by his GP, who completed a chest x-ray as part of this work-up. He has worked in the industry since he was 18 and currently smokes 20/day. He has no other symptoms and denies any prolonged cough, weight loss or haemoptysis.

Investigations: 

CXR report: Bilateral calcified plaques of the pleura, more so on the right than left. No associated pleural thickening or abnormalities noted. 

Given the likely diagnosis, what is the most appropriate management plan?

Select the SINGLE most appropriate option from the list below. Select ONE option only.