Progressive massive fibrosis

Case contributed by Adam Algazali
Diagnosis probable

Presentation

The patient is a stone cutter complaining of shortness of breath.

Patient Data

Age: 55 years
Gender: Male

Dense conglomerates of consolidations were noted in both upper lung lobes forming mass-like opacities in association with adjacent innumerable tiny dense nodules distributed throughout both lungs mainly in the upper lobes and right middle lobe along with architecture distortion and para cicatricial emphysema in upper lobes prominent in the right.

Case Discussion

Imaging findings are compatible with complicated silicosis with progressive massive fibrosis.

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