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Silicosis

Imaging findings

CT shows dense consolidation, traction bronchiectasis, and clustered nodules in a perilymphatic distribution. There is significant volume loss and distortion, but no calcified lymph nodes.

Key takeaways

Severe progressive massive fibrosis can occur in silicosis (often related to occupations like marble polishing or cutting artificial stone) even in the absence of the classic eggshell calcifications in the lymph nodes.

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