Complicated silicosis with progressive massive fibrosis

Case contributed by Dr Michael P Hartung

Presentation

10 year history of mining with worsening cough. Concern of lung masses.

Patient Data

Age: 50 years
Gender: Male

Secretions in the trachea. Extensive areas of perihilar consolidation, fibrosis, volume loss, and architectural distortion. Numerous fine nodules throughout both lungs. Few fine areas of subpleural ground-glass attenuation near the lung bases. No discrete mass separate from these areas of fibrosis. Numerous calcified mediastinal and hilar lymph nodes.

Case Discussion

Complicated silicosis with progressive massive fibrosis in this patient with a 10-year mining history. It is characterized by coalescing perihilar nodules and fibrosis resulting in a mass-like appearance. 

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