Two months history of dry cough
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Multiple small lung nodules are noted bilaterally predominantly in the upper lobes with nodular thickening of the peribronchovascular interstitium, and calcified hilar and mediastinal lymphadenopathy.
A cavitary lesion is noted in the apical segment of the right lower lobe with surrounding lung consolidation as well as centrilobular nodules with a linear branching pattern giving the classical 'tree-in-bud' appearance.
The association of multiple and bilateral small lung nodules predominantly in the upper lobes with calcified hilar and mediastinal lymphadenopathy in a patient with a history of exposure to silica particles (15 years as a stone carver in this case) is highly suggestive of silicotuberculosis.
Additional contributor: R Bouguelaa, MD
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- 2. Aberkane S. Perceived Health Related Quality of Life Outcomes with Silicosis Patients. (2017) Iranian journal of public health. 46 (9): 1299-1300. Pubmed