Pneumoconiosis chest x ray: Difference between revisions
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==Overview== | ==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]]. <ref name="pmid1410306">{{cite journal| author=Remy-Jardin M, Remy J, Farre I, Marquette CH| title=Computed tomographic evaluation of silicosis and coal workers' pneumoconiosis. | journal=Radiol Clin North Am | year= 1992 | volume= 30 | issue= 6 | pages= 1155-76 | pmid=1410306 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1410306 }} </ref> <ref name="pmid1987601">{{cite journal| author=Akira M, Yokoyama K, Yamamoto S, Higashihara T, Morinaga K, Kita N | display-authors=etal| title=Early asbestosis: evaluation with high-resolution CT. | journal=Radiology | year= 1991 | volume= 178 | issue= 2 | pages= 409-16 | pmid=1987601 | doi=10.1148/radiology.178.2.1987601 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1987601 }} </ref> <ref name="pmid14576443">{{cite journal| author=Copley SJ, Wells AU, Sivakumaran P, Rubens MB, Lee YC, Desai SR | display-authors=etal| title=Asbestosis and idiopathic pulmonary fibrosis: comparison of thin-section CT features. | journal=Radiology | year= 2003 | volume= 229 | issue= 3 | pages= 731-6 | pmid=14576443 | doi=10.1148/radiol.2293020668 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14576443 }} </ref> <ref name="pmid33153681">{{cite journal| author=Walkoff L, Hobbs S| title=Chest Imaging in the Diagnosis of Occupational Lung Diseases. | journal=Clin Chest Med | year= 2020 | volume= 41 | issue= 4 | pages= 581-603 | pmid=33153681 | doi=10.1016/j.ccm.2020.08.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33153681 }} </ref> | |||
==X Ray== | ==X Ray== | ||
An [[x-ray]] may be helpful in the diagnosis of [[pneumoconiosis]]. Findings on an [[x-ray]] suggestive of/diagnostic of [[pneumoconiosis]] include:<ref name="pmid32310362">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=32310362 | doi= | pmc= | url= }} </ref> <ref name="pmid20884728">{{cite journal| author=Wade WA, Petsonk EL, Young B, Mogri I| title=Severe occupational pneumoconiosis among West Virginian coal miners: one hundred thirty-eight cases of progressive massive fibrosis compensated between 2000 and 2009. | journal=Chest | year= 2011 | volume= 139 | issue= 6 | pages= 1458-1462 | pmid=20884728 | doi=10.1378/chest.10-1326 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20884728 }} </ref> | |||
*Pleural plaques are [[pathognomonic]] for [[asbestosis]]. | |||
*Interstitial [[nodules]] in the upper zone of the [[lungs]] for both [[silicosis]] and [[Occupational lung disease|coal worker's pneumoconiosis]]. | |||
*[[Progressive massive fibrosis]] is seen in both [[silicosis]] and [[Occupational lung disease|coal worker's pneumoconiosis]]. | |||
*[[Hilar adenopathy]] with ground glass opacities is seen in [[berylliosis]]. | |||
<gallery align="right"> | |||
File:Asbestosis-5.jpg|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> | |||
File:SilicosisXRay.jpg|Silicosis with nodules | |||
File:Progressive-massive-fibrosis-3.jpg|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> | |||
</gallery> | |||
==References== | ==References== |
Latest revision as of 17:40, 27 April 2021
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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.
-
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>
-
Silicosis with nodules
-
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.