Lung silicosis with progressive massive pulmonary fibrosis

Case contributed by Dr Mohammed Dafalla Ibrahim

Presentation

60 years old male patient presented with cough and expectoration of black sputum associated with shortness of breathing and chest tightness for 2 months , history of inhaler use for last 4 months ex-smoker for 6 months ago . He is working in construction company . No history of DM or HTN

Patient Data

Age: 60
Gender: Male

Bilateral mid zonal sizable asymmetrical  irregular patchy pulmonary opacity  Bilateral pulmonary diffuse reticulo-nodular pattern with picture of emphysematous changes .  Bilateral hilar haze.

The study has revealed bilateral, sizable, asymmetrical, peri hilar, irregular pulmonary opacities devoid of air bronchogram, of in homogenous soft tissue & central low  attenuation pattern ( likely of central liquefaction )  with marginal tiny hyper dense foci of calcification.

In addition to linear reticular bands radiate away in all directions & irregular nodular thickening in a perilymphatic distribution ( almost diffuse reticulo-nodular pattern ).

Para cicatricial pulmonary areas of hyper translucency..& subpleural bulle ( mainly apical ) denoting emphysematous changes.

Posterior segment left lower lobe demonstrate rounded pleural based relatively calcified nodular lesion of soft tissue like density with radiating reticulation.

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Case Information

rID: 26781
Case created: 8th Jan 2014
Last edited: 17th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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