CTICasesAccelerated Complicated Silicosis
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Imaging findings
A 29-year-old stonecutter with only nine years of exposure presents with advanced silicosis. The radiograph shows complicated silicosis with large opacities on a background of small nodules and upper lobe volume loss. CT further demonstrates large opacities lacking internal bronchiograms, dense eggshell calcification in the lymph nodes, pseudoplaques along the pleural surfaces, and a background of small nodules predominantly in the upper zones but extending to the bases.
Key takeaways
This is an impressive example of accelerated complicated silicosis in a young individual after a relatively short exposure period. Despite the dramatic imaging findings, the patient was reportedly not severely symptomatic, possibly due to their young age and lung reserve. This presentation is less commonly seen in current practice.
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