Occupational lung disease x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

A chest x-ray is the cornerstone of diagnosis in occupational lung disease. Findings on an x-ray suggestive of occupational lung disease include pleural thickening, Pleural plaques, pleural abnormalities, calcification, small or large opacities, costophrenic angle obliteration, atelectasis, pneumothorax, parenchymal bands, enlarged hilar or mediastinal lymph nodes, bullae and granulomata.


X Ray

  • A chest x-ray is the cornerstone of diagnosis in occupational lung disease. Findings on an x-ray suggestive of occupational lung disease include:
    • Pleural thickening
    • Pleural plaques
    • Pleural abnormalities
    • Calcification
    • Small or large opacities
    • Costophrenic angle obliteration
    • Atelectasis
    • Pneumothorax
    • Parenchymal bands
    • Enlarged hilar or mediastinal lymph nodes
    • Bullae
    • Granulomata
  • An x-ray may be helpful in the diagnosis of complications of occupational lung disease, which include:
    • Pulmonary edema
    • Pneumothorax
    • Pleural effusion

X-ray findings for specific etiologies

Silicosis

  • Multiple, small rounded opacities
  • Predilection to dorsal aspect of upper lobe

Coal worker's pneumoconiosis

  • Small, irregular opacities coalesce to indicate progressive massive fibrosis

Asbestosis

  • Predilection to lower lobes
  • Fine and coarse linear, peripheral, reticular opacities

Berylliosis

  • Multiple, rounded opacities with or without calcification
  • Architectural distortion
  • Loss of lung tissue volume
  • Shadows
  • Upper lobe predominance
  • Chronic berylliosis shows emphysema with bulla formation

Hypersensitivity pneumonitis

  • Starts at the lower lobes and moves progressively upwards
  • Reticular opacities with honeycombing


File:Earlyasbestosis.gif
Source:wikimediacommons, shows early asbestosis with plaques seen along the upper surface of the diaphragm By User Clinical Cases on en.wikipedia - Originally from en.wikipedia; description page is (was) here04:00, 5 March 2006 Clinical Cases 843x1024 (67110 bytes) (Source: Early Asbestosis in a Retired Pipe Fitter http://clinicalcases.blogspot.com/2004/03/early-asbestosis-in-retired-pipe.html Clinical_Cases: I made the photo myself, licensed under Creative Commons ), CC BY-SA 2.5, https://commons.wikimedia.org/w/index.php?curid=729018


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