Pneumonokoniose

Silicosis

simple

Röntgenbild

einer Silikose mit multiplen kleinnodulären Verdichtungen. Zusätzlich alte Rippenfrakturen links.

Chest

X-ray/Silicosis/ILO Classification/2-2 R-R

Komplizierte

Silikose

Chest X-ray

in asbestosis shows plaques above diaphragm 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 license.

Chest

X-ray/ILO Classification 2-2 S-S/close-up

Pneumoconiosis

• Calcified pleural plaques from asbestos exposure - Ganzer Fall bei Radiopaedia

Pneumoconiosis

• Mixed pneumoconiosis - silicosis with PMF and asbestosis - Ganzer Fall bei Radiopaedia

Pneumoconiosis

• Silicosis with progressive massive fibrosis - Ganzer Fall bei Radiopaedia

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. Subpleural dots and subpleural lines in asbestosis. Some dots are located a few millimeters from the pleura (arrows). In asbestosis, subpleural line is much closer to the pleural surface and the distance of the subpleural lines from the inner chest wall is 2 to 3 mm (arrowheads). The subpleural lines look like connected subpleural dots arranged along the inner chest wall

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. 61-year-old man with inhalational talc pneumoconiosis employed in talc industry for 20 years. a HRCT scan shows diffusely distributed small nodules. They are separated from the pulmonary vein or the pleura at a distance of about 2–3 mm and are separated regularly from each other at a distance of about 2–3 mm. b CT scan at mediastinal setting of 61-year-old man with inhalational talc pneumoconiosis shows large opacity and lymph nodes containing high-attenuation material

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. HRCT scans of pulmonary aluminosis. a 58-year-old man with pulmonary aluminosis. HRCT scan of pulmonary aluminosis mimicking sarcoidosis. Ground-glass opacities, small nodular opacities, and traction bronchiectasis are seen predominantly around the bronchovascular bundles. Nodules are located in both centrilobular and paralobular regions. b 52-year-old man with pulmonary aluminosis. HRCT shows traction bronchiectasis and ground-glass opacity predominantly in the upper lungs. Multiple bullae and centrilobular nodules are also seen

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. HRCT scans of heard metal pneumoconiosis. a 62-year-old man with hard metal pneumoconiosis. Upper-lung predominant fibrosis in hard metal pneumoconiosis. HRCT scan shows prominent interstitial thickening, irregular peribronchovascular thickening, and traction bronchiectasis in upper lung zones. b 32-year-old man with hard metal pneumoconiosis. Early stage of hard metal pneumoconiosis. HRCT scan shows ground-glass opacities and centrilobular nodules predominantly in the peripheral portions. c 53-year-old man with hard metal pneumoconiosis. HRCT scan shows patchy and irregular ground-glass opacity and traction bronchiectasis diffusely distributed in the lung. Bullae are seen in the subpleural region.

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. 59-year-old man with hard metal pneumoconiosis. Initial HRCT scan (a) shows scattered areas of ground-glass attenuation associated with fine reticulation and mild traction bronchiectasis. HRCT obtained 3 years later (b) reveals increase in parenchymal abnormalities in extent, prominent reticulation, and progression of traction bronchiectasis. HRCT obtained 5 years later (c) shows dense increased parenchymal opacities with traction bronchiectasis

Imaging

diagnosis of classical and new pneumoconiosis: predominant reticular HRCT pattern. HRCT scan of a 34-year-old man with indium lung. Tiny centrilobular nodules (arrows) are scattered in both lungs