A 67-year-old retired shipyard lagger has progressive breathlessness, late inspiratory crackles and clubbing. CT thorax shows basal subpleural

Question

A 67-year-old retired shipyard lagger has progressive breathlessness, late inspiratory crackles and clubbing. CT thorax shows basal subpleural fibrosis with bilateral pleural plaques; he smoked 10 pack-years and has no bird exposure. What is the most likely occupational diagnosis?

Accepted Answer

Asbestosis with asbestos-related pleural plaques

Answer

Mesothelioma presenting as diffuse fibrosis

Answer

Idiopathic pulmonary fibrosis without occupational contribution

Answer

Chronic obstructive pulmonary disease due to smoking

Answer

Extrinsic allergic alveolitis from home exposure

Asbestosis — DOccMed MCQ

A 67-year-old retired shipyard lagger has progressive breathlessness, late inspiratory crackles and clubbing. CT thorax shows basal subpleural fibrosis with bilateral pleural plaques; he smoked 10 pack-years and has no bird exposure. What is the most likely occupational diagnosis?