Malignant peritoneal mesothelioma is a rare disease associated with mild, n
onspecific abdominal symptoms and a wide spectrum of imaging findings, with
thickened mesentery and peritoneum being the most common ones. A case of a
malignant peritoneal mesothelioma presenting with manifestations of pulmon
ary disease is reported. Imaging evaluation revealed pleural, lung and peri
cardial involvement together with retroperitoneal lymphadenopathy, little a
scites and extensive omental, but only subtle, mesenteric thickening.