Malignant pleural mesothelioma (MPM) is an aggressive primary malignancy of the pleura that presents unique radiologic challenges with regards to accurate and reproducible assessment of disease extent at staging and follow-up imaging. By optimizing and harmonizing technical approaches to imaging MPM, the best quality imaging can be achieved for individual patient care, clinical trials and imaging research. This consensus statement represents agreement on harmonized, standard practices for routine multi-modality imaging of MPM, including radiography, computed tomography (CT)