Progressive massive fibrosis

Case contributed by Liz Silverstone
Diagnosis almost certain

Presentation

Lung transplantation assessment.

Patient Data

Age: 70 years
x-ray

Conglomerate upper zone masses with volume loss and pleural thickening.

Fibrotic upper zone masses with irregular emphysema.

Widespread mediastinal lymphadenopathy.

Case Discussion

Worked cutting marble and granite for 10 years with no protection. Smoker.

Apical scarring and hilar tethering increase the risk of hemorrhage during lung transplant surgery. The risk was considered too high to proceed.

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