Pneumoconiosis chest x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dushka Riaz, MD
Overview
An x-ray may be helpful in the diagnosis of pneumoconiosis. It is the initial screening test used however CT scan provides more sensitivity and specificity. [1] [2] [3] [4]
X Ray
An x-ray may be helpful in the diagnosis of pneumoconiosis. Findings on an x-ray suggestive of/diagnostic of pneumoconiosis include:[5] [6]
- Pleural plaques are pathognomonic for asbestosis.
- Interstitial nodules in the upper zone of the lungs for both silicosis and coal worker's pneumoconiosis.
- Progressive massive fibrosis is seen in both silicosis and coal worker's pneumoconiosis.
- Hilar adenopathy with ground glass opacities is seen in berylliosis.
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Asbestosis with pleural plaques - Case courtesy of Dr Hani Makky Al Salam, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/45002">rID: 45002</a>
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Silicosis with nodules
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Pneumoconiosis with massive pulmonary fibrosis - Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/50303">rID: 50303</a>
References
- ↑ Remy-Jardin M, Remy J, Farre I, Marquette CH (1992). "Computed tomographic evaluation of silicosis and coal workers' pneumoconiosis". Radiol Clin North Am. 30 (6): 1155–76. PMID 1410306.
- ↑ Akira M, Yokoyama K, Yamamoto S, Higashihara T, Morinaga K, Kita N; et al. (1991). "Early asbestosis: evaluation with high-resolution CT". Radiology. 178 (2): 409–16. doi:10.1148/radiology.178.2.1987601. PMID 1987601.
- ↑ Copley SJ, Wells AU, Sivakumaran P, Rubens MB, Lee YC, Desai SR; et al. (2003). "Asbestosis and idiopathic pulmonary fibrosis: comparison of thin-section CT features". Radiology. 229 (3): 731–6. doi:10.1148/radiol.2293020668. PMID 14576443.
- ↑ Walkoff L, Hobbs S (2020). "Chest Imaging in the Diagnosis of Occupational Lung Diseases". Clin Chest Med. 41 (4): 581–603. doi:10.1016/j.ccm.2020.08.007. PMID 33153681 Check
|pmid=value (help). - ↑ "StatPearls". 2021. PMID 32310362 Check
|pmid=value (help). - ↑ Wade WA, Petsonk EL, Young B, Mogri I (2011). "Severe occupational pneumoconiosis among West Virginian coal miners: one hundred thirty-eight cases of progressive massive fibrosis compensated between 2000 and 2009". Chest. 139 (6): 1458–1462. doi:10.1378/chest.10-1326. PMID 20884728.