Silicosis

Case contributed by Dr Eric F Greif

Presentation

Shortness of breath.

Patient Data

Age: 64
Gender: Male
X-ray

There is bilateral perihilar large focal opacities with calcifications, along with reticulonodular interstitial pattern, predominantly in the upper lobes.  Numerous lymph node eggshell calcifications are present.

CT

There are bilateral perihilar large focal opacities with calcifications, along with reticulonodular interstitial pattern. Groundglass opacities predominantly in the bilateral lower lobes with small bilateral pleural effusions. There is parenchymal scarring and minimal peripheral honeycombing in the lower lobes, consistent with fibrosis.  Pleural thinking and volume loss is evident.  Numerous lymph node eggshell calcifications within the mediastinum, hila, and abdomen.   

Heart is slightly enlarged with a trace-size pericardial effusion. There is prominence of the main pulmonary artery.

Numerous small course calcifications within the spleen, consistent with granulomatous disease.

Old thoracic compression fractures as seen on prior studies.

Case Discussion

Patient has an occupational history of sandblasting. He has a known history of fibrotic pneumoconiosis secondary to silicosis, but presented with acute findings of congestive heart failure and pulmonary alveolar edema as visualized on the CT.

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Case information

rID: 27857
Case created: 23rd Feb 2014
Last edited: 30th Apr 2016
System: Chest
Inclusion in quiz mode: Included

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