Progressive massive fibrosis
Eldery retired coal miner. Acute on chronic shortness of breath.
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Bilateral upper lobe fibrosis with mass like lesions in both upper lobes.
Right apical pleural thickening.
No pleural calcification.
The occupational history if often very important - if provided by the clinicians.
Those working in the mining community are prone to occupational chest diseases, one of which is progressive massive fibrosis.
The lesions can be very mass like in appearances and mimic lung cancer. This patient had multiple identical chest films over many years.