目的 :探讨胸膜间皮瘤X线诊断 ;方法 :临床资料回顾性调查分析 ;结果 :32例胸膜间皮瘤属局限型一例 ,弥漫型 31例 ,弥漫型均为单侧中等量以上胸液 ,左侧 1 8例 ,右侧 1 3例 ,累及心包者 2例 ,合并胸膜增厚 1 7例、胸膜结节 1 8例 ;结论 :临床上有进行性胸痛气短 ,而胸部X线表现单侧胸水 ,合并胸膜增厚或胸膜结节者有助于诊断胸膜间皮瘤 Objective: To investigate the X-ray diagnosis of pleural mesothelioma; Methods: Retrospective investigation and analysis of clinical data; Results: 32 cases of pleural mesothelioma are a limited case, diffuse 31 cases, diffuse type are unilateral moderate above the pleural fluid, There were 18 cases on the left side and 13 cases on the right side. There were 2 cases involving the pericardium. There were 17 cases with pleural thickening and 18 cases with pleural nodules. Conclusion: There are clinical chest pains shortness of breath and chest X-ray findings on one side. Pleural fluid, combined pleural thickening or pleural nodules are helpful in diagnosing pleural mesothelioma