Asbestosis

Case contributed by Dr Henry Knipe

Presentation

Chronic cough and shortness of breath.

Patient Data

Age: 85 years
Gender: Male
X-ray

Bilateral reticular opacity, worse in the bases, with reduced lung volume in keeping with previously seen interstitial fibrosis, which appears to have progressed from the previous chest x-ray. Left sided calcified pleural plaques. No new areas of focal consolidation. No pleural effusion.

CT

UIP pattern characterised by subreticular opacity, honeycombing and traction bronchiectasis worse in the bases has mildly progressed. No suspicious pulmonary nodule or mass. No focal consolidation or lobar collapse. Calcified pleural plaques are again seen. No pleural effusion. Tracheal and proximal bronchi are within normal limits. No enlarged thoracic lymph nodes. 

Case Discussion

UIP pattern along with calcified pleural plaques is highly suggestive for asbestosis, and this patient had the correlative history of asbestos exposure. 

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Case information

rID: 56192
Case created: 16th Oct 2017
Last edited: 31st Oct 2017
System: Chest
Inclusion in quiz mode: Included

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