Presentation
Cough, melanoptysis and dyspnea in a construction worker.
Patient Data
Age: 60 years
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Silicosis with progressive massive pulmonary fibrosis
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![](https://prod-images-static.radiopaedia.org/images/5509511/3def72f00f89ec0a6db13e6e42d3731e7f281d8b84351ad80847273f6ee74ca7_big_gallery.jpeg)
Bilateral middle zone masses and surrounding reticulonodular pattern with upper zone emphysema.
From the case:
Silicosis with progressive massive pulmonary fibrosis
![](https://prod-images-static.radiopaedia.org/images/5509535/dd2122f344e5023697c55a534544a4ba81b7a6d5f50bddd6c3a7700acd438424_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/5509551/82233c7850256e82436cf3d992b135d0aa63f5286424908c3f36419358b76611_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/5509543/777b1029c8363be563b2e5aecf0ee2f2004a23a22a1cf31d03a760a8123bb96e_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/5509567/d2602e61bbadf5392bebfc544e5ec98089d2b76dcc640a3277e0fed656899e00_thumb.jpeg)
![](https://prod-images-static.radiopaedia.org/images/5509559/9ec43937dae0da9342872025933b2384ffc12129db8826c733fe8017a0c235f3_thumb.jpeg)
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![](https://prod-images-static.radiopaedia.org/images/5509535/dd2122f344e5023697c55a534544a4ba81b7a6d5f50bddd6c3a7700acd438424_big_gallery.jpeg)
Bilateral, large posterior mid zone masses with central necrosis, peripheral calcific foci and radiating bands of atelectasis/fibrosis.
Innumerable mid zone predominant bead-like centrilobular nodules.
Apical emphysematous bullae.