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There are diffuse, dense tiny nodules throughout the lungs in keeping with industrial dust exposure. There are dense conglomerates of consolidation within the upper lobes, consistent with progressive massive fibrosis. There is patchy consolidation and nodular change within the right middle and lower lobes and the left lower lobe, suggesting a possible super-added infection. There is interlobular septal thickening within the lower lobes but no other features to suggest fluid overload. There is small volume, peripherally calcified hilar and mediastinal lymphadenopathy. There are bilateral calcified pleural plaques indicative of previous asbestos exposure.