Clinical presentation is similar to most pulmonary problems. Nonpleuritic chest pain and dyspnea are the most common. During the evaluation, chest x-ray may show a unilateral pleural abnormality or pleural effusion, diffuse pleural thickening or a pleural mass or ipsilateral mediastinal shift. Loss of lung volume is common.
Physical findings may include dullness to percussion, palpable chest wall masses or scoliosis to the side of the malignancy.