The patient is a 38-year-old male presenting with left-sided chest pain and breathlessness for 6 months. CT scan revealed pleural mesothelioma stage IV. Biopsy confirmed malignant mesothelioma. The patient's condition deteriorated and he eventually suffered cardiac arrest and passed away. Mesothelioma is caused by asbestos exposure and has a very poor prognosis. Treatment options include surgery, chemotherapy and palliative care but the median survival is only 4-12 months.