Figure 4.

Images of a “one-piece” surgical specimen following a left extended pleurectomy/decortication. a) The medial surface, showing the left hemidiaphragm (with a central resection of the peritoneal membrane, which is usually preserved) and the en bloc pericardial resection. b) The lateral surface of the specimen, showing a blue paper towel in the positions of the left lower lobe (to the left) and left upper lobe (to the right), with the visceral pleura of the fused fissural surfaces of the lobes of the lung in-between. c) The pleural “cavity” showing bulky tumour nodules on the parietal and visceral surfaces.