Pleural thickening: It means that the pleural thickening is metabolically active(i.e. It is not chronic scarring, which would be inactive). The 2 main possibilities for this, as you mention, are an active inflammation, which is benign, or neoplastic disease(tumor). Speak with your doctor. If the answer is not clear based on your entire clinical picture, biopsy could be needed to determine what it is.
Answered 6/21/2014
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