Presentation
Chronic cough and weight loss for three years. Occupational history of stone-cutting.
Patient Data







Bilateral nearly symmetrical peri hilar mass-like lung opacification with radiating strands and multiple enlarged hilar lymph nodes, some calcified.
Widespread coarse nodular septal thickening in both lungs. No effusions.
Case Discussion
Bronchoscopy and bronchoalveolar lavage were negative for malignancy and TB.
Progressive massive fibrosis (PMF) refers to the formation of large mass-like conglomerates, predominantly in the upper lobes. These classically develop in the context of certain pneumoconioses (especially coal worker's pneumoconiosis and silicosis) although similar mass-like densities have occasionally been described with talcosis.