CTICasesAcute Silicosis (Presumed)
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
A chest radiograph revealed widespread nodular opacities. Chest CT showed numerous nodules distributed throughout the lungs, extending all the way down to the costophrenic angles. The pattern was difficult to categorize but appeared perilymphatic, with some possible cavitary nodules or wrapping around airways. A bronchoscopy with lavage was unrevealing for alveolar proteinosis or crystals.
Key takeaways
A 50-year-old lady presented with shortness of breath after five days of working with sheetrock. The widespread nodular pattern is highly suspicious for acute silicosis, despite the unusual involvement of the costophrenic angles and negative bronchoalveolar lavage for crystals. Further follow-up and a possible VATS biopsy were considered due to some skepticism about the acute silicosis diagnosis.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Dermatomyositis with Organizing Pneumonia and Non-Specific Interstitial PneumoniaAutoimmune
- Spontaneous Left Anterior Descending Artery (LAD) DissectionVascular
- Transcatheter Aortic Valve Implantation (TAVI) Complication: Acute Right Coronary Artery (RCA) Occlusion and Valve MigrationIatrogenic
- Sarcoidosis Presenting with HypocalcemiaAutoimmune
- Progressive Interstitial Lung Fibrosis with Dendriform OssificationsILD
- Asymmetric Interstitial Lung Fibrosis in Systemic SclerosisILD
- Pulmonary Calcified Axis (Metastatic Calcification)Metabolic
- PKP2-Related Glycogen Storage Disease with Cardiac Hypertrophy and Pre-excitationMetabolic
See all cases from March 27, 2015 →