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Silicosis with progressive massive fibrosis

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Progressive shortness of breath.

Patient Data

Age: 80 years
Gender: Male

There is bilateral diffuse upper lobe reticular shadowing superimposed with occasional scattered mass like opacities.

CT scan shows upper zone predominant mass-like scarring with calcification and volume loss. Hilar and mediastinal lymph node calcification also noted. No cavitary changes are seen. There is a left pleural effusion.

Case Discussion

Chest x-ray and CT scan of the chest demonstrate characteristic upper zone mass-like scarring with calcification and volume loss. Hilar and mediastinal lymph node calcification is also demonstrated. Features are in keeping with silicosis and progressive massive fibrosis (PMF)

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