Pulm - Pneumoconiosis & Fungal Infection

upper lobes

hemoptysis, granulomatous or fibrosing mediastinitis, mediastinal adenopathy w/ patchy infiltrates or military pattern

erythema nodosum, erythema multiforme, empyema

progressive massive fibrosis, dark "black" lungs, small nodules in the upper lung w/ hyperinflation of lower lobes

multiple small round nodular opacities (military pattern) in the upper lobes, eggshell calcification of hilarious and mediastinal nodes

verrucous skin lesions

fungal ball in pre-existing cavity or fibrosis replacing lung, hypersensitivity reaction, tubular mucoid impaction (finger in glove sign)

diffuse or multifocal areas of ground-glass opacities, opportunistic infection seen in HIV patients, hypoxia induced by activity, interstitial infiltrates, increased LDH

multiple small rounded opacities that calcify, upper lobe scarring, bullae, volume loss

hemoptysis, weight loss, night sweats

lower lobes

chickens, pigeons

dry cough, hemoptysis, low fever, headache, AMS, + India ink

inhalation of toxic fibers

slow progressive pulmonary fibrosis, CT shows pleural plaques, parietal pleural thickening, honeycombing, irregular linear opacities, shaggy heart sign w/ ground glass appearance

chronic asbestos exposure

hemoptysis, weight loss, fever, unilateral pleural thickening, blood pleural effusions, shrunken hemithorax, treated w/ platinum agent