Progressive massive fibrosis

Case contributed by Dr Ian Bickle

Presentation

Eldery retired coal miner. Acute on chronic shortness of breath.

Patient Data

Age: 76
Gender: Male
Modality: X-ray

Bilateral upper lobe fibrosis with mass like lesions in both upper lobes.

Right apical pleural thickening.

No pleural calcification.

Case Discussion

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.

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Case Information

rID: 46086
Case created: 21st Jun 2016
Last edited: 27th Jun 2016
System: Chest
Inclusion in quiz mode: Included

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