Presentation
SOB. Former mining community resident.
Patient Data
Age: 60 years
Gender: Male
From the case:
Progressive massive fibrosis
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Extensive bilateral upper lobe fibrosis.
7cm right upper lobe and 4.3cm left perihilar masses. Extensive nodularity in the upper lobes.
Left apical bulla.
Heart size normal.
From the case:
Progressive massive fibrosis
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5.5 cm left perihilar and 6.9 cm right upper lobe masses.
Extensive nodularity and fibrosis in the upper lobes. Bilateral apical bulla, larger on the left.
Multiple small volume mediastinal nodes - some part calcified.
Case Discussion
Both the plain radiograph and CT studies show an advanced classical example of progressive massive fibrosis, a condition most associated with former, but not exclusively, coal mining communities in those exposed to coal dust as faceworkers.
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