Silicosis with progressive massive fibrosis
Diagnosis almost certain
Updates to Case Attributes
Status
changed from draft to published (public).
Published At
was set to
.
Gender
was set to
Male.
Age
was set to
50 years.
Updates to Study Attributes
Findings
was changed:
- Mild supraclavicular lymphadenopathy (upper edge of scan).
- Non-enlarged elliptical axillary lymph nodes with no fatty hila.
- Mediastinal lymphadenopathy in many stations, with subcarinal nodes reaching 17 mm (short axis).
- Bilateral hilar lymphadenopathy with delicate peripheral nodules of calcification ("eggshell calcification").
- Severe bilateral pulmonary fibrosis, particularly in the upper lobes. Innumerable centrilobular nodules diffusely dispersed throughout the lungs.
- Bilateral postero-medial pleural thickening.
- Supradiaphragmatic lymphadenopathy, with nodes measuring up to 17 mm (short axis).
- Gastrohepatic ligament lymphadenopathy, with the largest mass/conglomerate measuring 39 mm across.
- Hypodense lesion in posteromedial aspect of the spleen measuring 30 x 23 x 30 cm, unchanged compared to previous scan (not shown) - probably a haemangioma.
- The coeliac trunk is severely stenotic at its origin.
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