Silicosis chest x ray: Difference between revisions

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==Overview==
==Overview==
*A [[chest radiograph]] is obtained in virtually all patients undergoing evaluation for silicosis. It will confirm the presence of [[nodules]] in the lungs, especially in the upper lobes.
==Chest X Ray==
==Chest X Ray==
Chest x-ray will confirm the presence of nodules in the lungs, especially in the upper lobes. Typically, it will also reveal eggshell [[calcification]] of the [[lymph node|hilar lymph node]]s.  In rare cases, pulmonary nodules may also be calcified.  In advanced cases of silicosis, coalescence of nodules may show up as large masses.
*In acute silicosis, the [[chest radiograph]] demonstrates characteristic
:*Bilateral consolidation,
:*Typically symmetrical
:*Diffuse [[ground glass opacities]] which may be perihilar or basilar <ref name="pmid9805764">{{cite journal| author=Duchange L, Brichet A, Lamblin C, Tillie I, Tonnel AB, Wallaert B| title=[Acute silicosis. Clinical, radiologic, functional, and cytologic characteristics of the broncho-alveolar fluids. Observations of 6 cases]. | journal=Rev Mal Respir | year= 1998 | volume= 15 | issue= 4 | pages= 527-34 | pmid=9805764 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9805764  }} </ref><ref name="pmid622482">{{cite journal| author=Dee P, Suratt P, Winn W| title=The radiographic findings in acute silicosis. | journal=Radiology | year= 1978 | volume= 126 | issue= 2 | pages= 359-63 | pmid=622482 | doi=10.1148/126.2.359 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=622482  }} </ref>.
*These features may progress from a pattern of lower zone opacities to large masses of coalesced parenchymal tissue in the mid and lower zones, which are typically bilateral but not always symmetrical <ref name="pmid9805764">{{cite journal| author=Duchange L, Brichet A, Lamblin C, Tillie I, Tonnel AB, Wallaert B| title=[Acute silicosis. Clinical, radiologic, functional, and cytologic characteristics of the broncho-alveolar fluids. Observations of 6 cases]. | journal=Rev Mal Respir | year= 1998 | volume= 15 | issue= 4 | pages= 527-34 | pmid=9805764 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9805764  }} </ref>.
*The typical [[chest radiograph]] finding in chronic simple silicosis is the presence of many small round opacities of
:*Less than 10 mm in diameter,  
:*Distributed predominantly in the upper lung zones.  
*[[Progressive massive fibrosis]] also known as conglomerate silicosis occurs when these small opacities gradually enlarge and coalesce to form larger opacities
:*Of more than 10 mm in diameter .
:*Asymmetrical, and may mimic a [[cancer|neoplastic process]].
:*And associated with [[lung fibrosis|upper lobe fibrosis]] and lower lobe [[hyperinflation]].
:*[[lymphadenopathy|Hilar adenopathy]] with prominent eggshell [[calcification]]<ref name="pmid25260430">{{cite journal| author=Gera K, Pilaniya V, Shah A| title=Silicosis: progressive massive fibrosis with eggshell calcification. | journal=BMJ Case Rep | year= 2014 | volume= 2014 | issue=  | pages=  | pmid=25260430 | doi=10.1136/bcr-2014-206376 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25260430  }} </ref> is present in up to 5 percent of workers with silicosis.
:*[[Cavitation]] may also be present in advanced disease or in the setting of mycobacterial [[superinfection]].




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[[Category:Needs content]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Occupational diseases]]


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Latest revision as of 15:35, 8 June 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aparna Vuppala, M.B.B.S. [2]

Overview

  • A chest radiograph is obtained in virtually all patients undergoing evaluation for silicosis. It will confirm the presence of nodules in the lungs, especially in the upper lobes.

Chest X Ray

  • These features may progress from a pattern of lower zone opacities to large masses of coalesced parenchymal tissue in the mid and lower zones, which are typically bilateral but not always symmetrical [1].
  • The typical chest radiograph finding in chronic simple silicosis is the presence of many small round opacities of
  • Less than 10 mm in diameter,
  • Distributed predominantly in the upper lung zones.
  • Progressive massive fibrosis also known as conglomerate silicosis occurs when these small opacities gradually enlarge and coalesce to form larger opacities


X Ray of the lung of a patient with silicosis

References

  1. 1.0 1.1 Duchange L, Brichet A, Lamblin C, Tillie I, Tonnel AB, Wallaert B (1998). "[Acute silicosis. Clinical, radiologic, functional, and cytologic characteristics of the broncho-alveolar fluids. Observations of 6 cases]". Rev Mal Respir. 15 (4): 527–34. PMID 9805764.
  2. Dee P, Suratt P, Winn W (1978). "The radiographic findings in acute silicosis". Radiology. 126 (2): 359–63. doi:10.1148/126.2.359. PMID 622482.
  3. Gera K, Pilaniya V, Shah A (2014). "Silicosis: progressive massive fibrosis with eggshell calcification". BMJ Case Rep. 2014. doi:10.1136/bcr-2014-206376. PMID 25260430.

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