CTICasesCoal Workers' Pneumoconiosis
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Imaging findings
Radiographic findings displayed classic large opacities of progressive massive fibrosis, following the chest wall margin, with associated paracicatricial bullae and reticulated, coalescent small nodules. Hilar retraction and fissure elevation were also present. These findings are consistent with complicated coal workers' pneumoconiosis, even in relatively young patients with recent exposure.
Key takeaways
Coal workers' pneumoconiosis remains a relevant occupational disease. Radiographic patterns of progressive massive fibrosis, including coalescent opacities and distortion of the lung architecture, are diagnostic. Digital radiography can sometimes obscure the early small nodules, making careful inspection for subtle signs of interstitial change essential.
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