Occupational lung disease x ray: Difference between revisions
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==Overview== | ==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, | 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 [[Plaque|plaques]], pleural abnormalities, [[calcification]], small or large opacities, [[Costophrenic angle|costophrenic angle obliteration]], [[atelectasis]], [[pneumothorax]], parenchymal bands, enlarged hilar or mediastinal [[Lymph node|lymph nodes]], bullae, and granulomata. | ||
==X Ray== | ==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: | *A chest x-ray is the cornerstone of diagnosis in occupational lung disease. Findings on an x-ray suggestive of occupational lung disease include:<ref name="pmid1410305">{{cite journal |vauthors=Stark P, Jacobson F, Shaffer K |title=Standard imaging in silicosis and coal worker's pneumoconiosis |journal=Radiol. Clin. North Am. |volume=30 |issue=6 |pages=1147–54 |year=1992 |pmid=1410305 |doi= |url=}}</ref> | ||
**Pleural thickening | **Pleural thickening | ||
**Pleural plaques | **Pleural [[Plaque|plaques]] | ||
**Pleural abnormalities | **Pleural abnormalities | ||
**Calcification | **[[Calcification]] | ||
**Small or large opacities | **Small or large opacities | ||
**Costophrenic angle obliteration | **[[Costophrenic angle|Costophrenic angle obliteration]] | ||
**Atelectasis | **[[Atelectasis]] | ||
**Pneumothorax | **[[Pneumothorax]] | ||
**Parenchymal bands | **Parenchymal bands | ||
**Enlarged hilar or mediastinal lymph nodes | **Enlarged hilar or mediastinal [[Lymph node|lymph nodes]] | ||
**Bullae | **Bullae | ||
**Granulomata | **Granulomata | ||
*An x-ray may be helpful in the diagnosis of complications of occupational lung disease, which include: | *An x-ray may be helpful in the diagnosis of complications of occupational lung disease, which include: | ||
**Pulmonary edema | **[[Pulmonary edema]] | ||
**Pneumothorax | **[[Pneumothorax]] | ||
**Pleural effusion | **[[Pleural effusion]] | ||
==X-ray findings for specific etiologies== | ==X-ray findings for specific etiologies== | ||
X-ray findings depending on specific etiologies of occupational lung disease include:<ref name="pmid20155272">{{cite journal |vauthors=Marchiori E, Lourenço S, Gasparetto TD, Zanetti G, Mano CM, Nobre LF |title=Pulmonary talcosis: imaging findings |journal=Lung |volume=188 |issue=2 |pages=165–71 |year=2010 |pmid=20155272 |doi=10.1007/s00408-010-9230-y |url=}}</ref><ref name="pmid7298709">{{cite journal |vauthors=Stark P |title=Vineyard sprayer's lung - a rare occupational disease |journal=J Can Assoc Radiol |volume=32 |issue=3 |pages=183–4 |year=1981 |pmid=7298709 |doi= |url=}}</ref><ref name="pmid17586761">{{cite journal |vauthors=Nemery B, Abraham JL |title=Hard metal lung disease: still hard to understand |journal=Am. J. Respir. Crit. Care Med. |volume=176 |issue=1 |pages=2–3 |year=2007 |pmid=17586761 |doi=10.1164/rccm.200704-527ED |url=}}</ref><ref name="pmid15891506">{{cite journal |vauthors=Antao VC, Pinheiro GA, Terra-Filho M, Kavakama J, Müller NL |title=High-resolution CT in silicosis: correlation with radiographic findings and functional impairment |journal=J Comput Assist Tomogr |volume=29 |issue=3 |pages=350–6 |year=2005 |pmid=15891506 |doi= |url=}}</ref><ref name="pmid622482">{{cite journal |vauthors=Dee P, Suratt P, Winn W |title=The radiographic findings in acute silicosis |journal=Radiology |volume=126 |issue=2 |pages=359–63 |year=1978 |pmid=622482 |doi=10.1148/126.2.359 |url=}}</ref><ref name="pmid29411024">{{cite journal |vauthors=Blackley DJ, Reynolds LE, Short C, Carson R, Storey E, Halldin CN, Laney AS |title=Progressive Massive Fibrosis in Coal Miners From 3 Clinics in Virginia |journal=JAMA |volume=319 |issue=5 |pages=500–501 |year=2018 |pmid=29411024 |doi=10.1001/jama.2017.18444 |url=}}</ref> | |||
==Silicosis== | ===Silicosis and Talcosis=== | ||
*Multiple, small rounded opacities | *Multiple, small rounded opacities | ||
*Predilection to dorsal aspect of upper lobe | *Predilection to dorsal aspect of upper lobe | ||
*Diffuse ground glass opacities | |||
*Punctuate [[calcification]] in lymph nodes | |||
==Coal worker's pneumoconiosis== | ===Coal worker's pneumoconiosis=== | ||
*Small, irregular opacities coalesce to indicate progressive massive fibrosis | *Small, irregular opacities coalesce to indicate [[progressive massive fibrosis]] | ||
==Asbestosis== | ===Asbestosis=== | ||
*Predilection to lower lobes | *Predilection to lower lobes | ||
*Diaphragmatic plaques are pathognomonic | |||
*Fine and coarse linear, peripheral, reticular opacities | *Fine and coarse linear, peripheral, reticular opacities | ||
==Berylliosis== | ===Berylliosis=== | ||
*Multiple, rounded opacities with or without calcification | *Multiple, rounded opacities with or without [[calcification]] | ||
*Architectural distortion | *Architectural distortion | ||
*Loss of lung tissue volume | *Loss of lung tissue volume | ||
*Shadows | *Shadows | ||
*Upper lobe predominance | *Upper lobe predominance | ||
*Chronic berylliosis shows emphysema with bulla formation | *Chronic [[berylliosis]] shows [[emphysema]] with bulla formation | ||
==Hypersensitivity pneumonitis== | ===Hypersensitivity pneumonitis=== | ||
*Starts at the lower lobes and moves progressively upwards | *Starts at the lower lobes and moves progressively upwards | ||
*Reticular opacities with honeycombing | *Reticular opacities with honeycombing | ||
===Vineyard sprayer's lung=== | |||
*Nodular opacities | |||
*Lobar [[Consolidation (medicine)|consolidation]] | |||
*Upper lobe scarring | |||
*Conglomerate shadows | |||
*[[Lung]] destruction | |||
===Hard metal pneumoconiosis=== | |||
*Small nodules | |||
*Reticular opacities | |||
*Small cystic spaces | |||
*Basal predominance | |||
Latest revision as of 17:19, 9 March 2018
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Occupational lung disease Microchapters |
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Differentiating Occupational lung disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Occupational lung disease x ray On the Web |
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American Roentgen Ray Society Images of Occupational lung disease x ray |
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Directions to Hospitals Treating Coalworker's pneumoconiosis |
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Risk calculators and risk factors for Occupational lung disease x ray |
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:[1]
- 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:
X-ray findings for specific etiologies
X-ray findings depending on specific etiologies of occupational lung disease include:[2][3][4][5][6][7]
Silicosis and Talcosis
- Multiple, small rounded opacities
- Predilection to dorsal aspect of upper lobe
- Diffuse ground glass opacities
- Punctuate calcification in lymph nodes
Coal worker's pneumoconiosis
- Small, irregular opacities coalesce to indicate progressive massive fibrosis
Asbestosis
- Predilection to lower lobes
- Diaphragmatic plaques are pathognomonic
- 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
Vineyard sprayer's lung
- Nodular opacities
- Lobar consolidation
- Upper lobe scarring
- Conglomerate shadows
- Lung destruction
Hard metal pneumoconiosis
- Small nodules
- Reticular opacities
- Small cystic spaces
- Basal predominance
References
- ↑ Stark P, Jacobson F, Shaffer K (1992). "Standard imaging in silicosis and coal worker's pneumoconiosis". Radiol. Clin. North Am. 30 (6): 1147–54. PMID 1410305.
- ↑ Marchiori E, Lourenço S, Gasparetto TD, Zanetti G, Mano CM, Nobre LF (2010). "Pulmonary talcosis: imaging findings". Lung. 188 (2): 165–71. doi:10.1007/s00408-010-9230-y. PMID 20155272.
- ↑ Stark P (1981). "Vineyard sprayer's lung - a rare occupational disease". J Can Assoc Radiol. 32 (3): 183–4. PMID 7298709.
- ↑ Nemery B, Abraham JL (2007). "Hard metal lung disease: still hard to understand". Am. J. Respir. Crit. Care Med. 176 (1): 2–3. doi:10.1164/rccm.200704-527ED. PMID 17586761.
- ↑ Antao VC, Pinheiro GA, Terra-Filho M, Kavakama J, Müller NL (2005). "High-resolution CT in silicosis: correlation with radiographic findings and functional impairment". J Comput Assist Tomogr. 29 (3): 350–6. PMID 15891506.
- ↑ 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.
- ↑ Blackley DJ, Reynolds LE, Short C, Carson R, Storey E, Halldin CN, Laney AS (2018). "Progressive Massive Fibrosis in Coal Miners From 3 Clinics in Virginia". JAMA. 319 (5): 500–501. doi:10.1001/jama.2017.18444. PMID 29411024.