Silicosis with progressive massive pulmonary fibrosis

Case contributed by Mohammed Dafalla Ibrahim Dafalla
Diagnosis almost certain

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.

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Info

Bilateral middle zone masses and surrounding reticulonodular pattern with upper zone emphysema.

Axial lung
window
Axial C+
arterial phase
Coronal
lung window
Coronal C+
arterial phase
Sagittal
lung window
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Info

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.

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