Silicosis with progressive massive fibrosis
60 Y/O patient with shortness of breath.
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There are multiple variably sized micronodules with characteristic parenchymal mass-like scarring with calcification and volume loss. Hilar and mediastinal calcified lymphadenopathies also are noted.
The findings in a 60 Y/O male are consistent with progressive massive fibrosis due to pulmonary silicosis.