A 67 year old man with a slowly worsening shortness of breath and a recent episode of hemoptysis. A non-smoker, he had been a deep coal miner for years. The chest radiographs show bilateral irregular areas of density in the upper lung lobes. An open lung biopsy reveals dense fibrosis and anthracosis in these areas; no malignancy is found. No necrosis is seen and no microorganism's are found. Your diagnosis:
A. Idiopathic interstitial fibrosis
B. Coal miner's pneumoconiosis with progressive massive fibrosis
C. Asbestosis
D. Silicosis
Answer
Category:
Respiratory Medicine MCQs
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