Silicosis (classic complicated)

Case contributed by Franco A. Scola
Diagnosis almost certain


Thoracic pain.

Patient Data

Age: 80 years
Gender: Male

Bilateral irregular masses with soft tissue density and coarse calcifications, located, respectively, at posterior and apicoposterior segment of right and left upper lobe, associated with satellite small nodules and ground-glass opacities. Others small nodules are found in both lungs periphery.

Multiple billateral calcified mediastinal lymphadenopathy, with eggshell pattern.

Case Discussion

Irregular or ill-defined soft-tissue mass with coarse calcifications, predominating at the posteriors regions of the lung, associated with eggshell pattern calcification of lymph nodes are very sugestive of classic complicated silicosis.

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