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MCQ – 89148

Question

A construction factory worker presents with dyspnoea; the following is the chest X-ray image. What is the suspected cause?
A. Pneumoconiosis
B.

Tuberculosis

C.

Asbestosis

D.

Silicosis

Show Answer

Correct Answer � C

Explanation

Ans. C. Asbestosis

The X-ray shows irregular opacities and calcification in lower lung fields, which are parietal pleural thickenings i.e Pleural plaques – strongly suggestive of asbestos exposure.

Asbestosis is a diffuse interstitial fibrosing disease of the lung. Characteristic findings include

Irregular or linear opacities – Pleural plaques that are usually first noted in the lower lung fields are the chest radiographic hallmark of asbestosis.

An indistinct heart border or a “ground-glass” appearance in the lung fields may be seen.

Pulmonary function testing in asbestosis reveals a restrictive pattern with a decrease in both lung volumes and diffusing capacity along with mild airflow obstruction (due to peribronchiolar fibrosis).

Lung cancer is the most common asbestos-related cancer

Mesothelioma (pleural and peritoneal) is the most specific asbestos-related cancer

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