My guess is asbestosis. Looks like a reticulonodular pattern, and there seems to be some increased densitiy (calcification) of the diaphragmatic pleura, the posterior aspect of the pleura, and possibly the pericardium.
I believe he has calcified and non-calcified pleural plaques.I would get a c-t to further evaluate the parenchyma as on the PA there does seem to be increased markings which may well be parenchymal fibrosis which in the company of calcified plaques usually mean asbestosis.
The screen resolution makes it difficult to appreciate, but it turns out that there are no parenchymal abnormalities. You are both correct regarding the pleural plaques. The patient wrapped pipes with Asbestos 30 years ago.
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My guess is asbestosis. Looks like a reticulonodular pattern, and there seems to be some increased densitiy (calcification) of the diaphragmatic pleura, the posterior aspect of the pleura, and possibly the pericardium.
I believe he has calcified and non-calcified pleural plaques.I would get a c-t to further evaluate the parenchyma as on the PA there does seem to be increased markings which may well be parenchymal fibrosis which in the company of calcified plaques usually mean asbestosis.
The screen resolution makes it difficult to appreciate, but it turns out that there are no parenchymal abnormalities. You are both correct regarding the pleural plaques. The patient wrapped pipes with Asbestos 30 years ago.
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