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©2013 UpToDate ® Print Email Typical findings on contrast enhanced CT scan in patients with MPM Initial CT findings Frequency, percent Ascites 60 to 100 Omental involvement 66 to 91 Peritoneal changes 73 to 88 Diaphragm or liver surface involvement 77 to 82 Small bowel or mesentery involvement 60 to 82 Pleural changes* 23 to 80 Pleural effusion* 17 to 20 Abdominal adenopathy 12 to 27 Discrete masses 12 to 20 * Some studies additionally used plan radiographs for interpretations. References: 1. Kebapci M, Vardareli E, Adapinar B, Acikalin M. CT findings and serum ca 125 levels in malignant peritoneal mesothelioma: report of 11 new cases and review of the literature. Eur Radiol 2003; 13:2620. 2. Ros PR, Yuschok TJ, Buck JL, et al. Peritoneal mesothelioma. Radiologic appearances correlated with histology. Acta Radiol 199; 32:355. 3. Antman KH, Pomfret EA, Aisner J, et al. Peritoneal mesothelioma: natural history and response to chemotherapy. J Clin Oncol 1983; 1:386. 4. Yan TD, Haveric N, Carmignani CP. Abdominal computed tomography scans in the selection of patients with malignant peritoneal mesothelioma for comprehensive treatment with cytoreductive surgery and perioperative intraperitoneal chemotherapy. Cancer 2005; 103:839. 5. Plaus WJ. Peritoneal mesothelioma. Arch Surg 1988; 123:763.