Progressive massive fibrosis due to silicosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Shortness of breath in a patient with a long history of quarrying.

Patient Data

Age: 60 years
Gender: Male

There are multiple varying size nodules and characteristic parenchymal mass like lesions with calcification and volume loss. Interlobular septal thickening is seen.

Hilar and mediastinal calcified lymphadenopathies also are noted.

Ring artifact is present. 

Case Discussion

The findings are most likely consistent with progressive massive fibrosis due to pulmonary silicosis.

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