Pulmonary disease likely reflects occupational exposure (mining) in and older male. There may be a combination of silicosis and asbestosis given the pleural disease. There are several coalescing areas of consolidation and fibrosis measuring greater than 1 cm, consistent with progressive massive fibrosis. 

End stage tuberculous infection of the right kidney is partially imaged. The cortex is atrophic, and the kidney is filled with partially calcified caseous necrosis from tuberculous infection. This patient is at increased risk of mycobacterial infection due to the underlying lung disease.