72 year old man with asbestosis. Chest Xray (a) shows diffuse reticular changes, dominant in the lower lobes and with a “shaggy” heart border, implying involvement of the middle lobe and lingular segments. Image b is an axial slice at the level of the main pulmonary artery and shows calcified pleural plaques in the posteromedial and right anteromedial locations. Image c of the upper lung zones show mild reticular changes and honeycomb changes. Image d shows reticular changes, more dense fibrotic changes in the lingula, thickening along right lower lobe subsegmental airway and early honeycombing
Ashley Davidoff MD thecommonvein.net 47060c01
keywords chest lung fx shaggy heart border reticular changes interstitial lung disease interstitium honeycombing pleural calcification fibrosis dx asbestosis
Ashley Davidoff MD TheCommonVein.com

 

Mnemonic: Asbestos Exposure and Pleural Plaques This AI-assisted memory GIF image (b) portrays a 72-year-old shipbuilder in a drydock, hammering away creating an environment of dust that includes asbestos particles
A 50 year exposure to this environment directly links the patient’s occupation as a shipbuilder, a classic source of asbestos exposure, to the hallmark radiological finding of calcified pleural plaques. These plaques are deposits of hyalinized collagen in the parietal pleura and are the most common manifestation of asbestos exposure. This image links the shipbuilder occupation to calcified pleural plaques, the most common radiological sign of past asbestos exposure.
Ashley Davidoff Art, AI-assisted — Memory Image – TheCommonVein.com (118433.MAD.03b.asbestos)

“Asbestosis The Fiber Fine”

(Verse 1) A wicked dust, a fiber fine, A ghost of industry and mine. A tiny spear, inhaled and deep, A promise that it’s bound to keep. It doesn’t burn, it doesn’t rust, It simply settles, gathers dust.

(Verse 2) You worked the yard, you worked the ship, You breathed the dust from hand to lip. It hides for decades, bides its time, While you are young and in your prime. And all the while, the seed was sown, To turn the living lung to stone.

(Chorus) Oh, Asbestosis, the cost is high, A slow-drawn breath, a heavy sigh. It starts down low, in the subpleural space, And leaves a chalky, white-hot trace. A pleural plaque, a ghostly sight, A fibrous shadow, in the light.

(Verse 3) It’s not the cancer, not the blight That comes from smoking, day and night. But it’s the partner, the accomplice dread, That paves the way for what’s ahead. The breath grows short, the air is thin, The fibrous prison closes in.

(Chorus) Oh, Asbestosis, the cost is high, A slow-drawn breath, a heavy sigh. It starts down low, in the subpleural space, And leaves a chalky, white-hot trace. A pleural plaque, a ghostly sight, A fibrous shadow, in the light.

(Outro) A heavy chest, a painful cost, For all the healthy years you’ve lost. A wicked dust, a fiber fine, The brutal legacy… of the asbestos line.

Poem
“Asbestosis The Fiber Fine”

A wicked dust, a fiber fine,
A ghost of industry and mine.
A tiny spear, inhaled and deep,
A promise that it’s bound to keep.
It doesn’t burn, it doesn’t rust,
It simply settles, gathers dust.

It hides for decades, bides its time,
While you are young and in your prime.
You worked the yard, you worked the ship,
You breathed the dust from hand to lip.
And all the while, the seed was sown,
To turn the living lung to stone.

It starts down low, and slow, and deep,
Where the subpleural spaces sleep.
It spins a fiber, scar on scar,
And pulls the tissue from afar.
It leaves its mark, a chalky white,
A pleural plaque, a ghostly sight.

It’s not the cancer, not the blight
That comes from smoking, day and night,
But it’s the partner, the accomplice dread,
That paves the way for what’s ahead.

The breath grows short, the air is thin,
The fibrous prison closes in.
A heavy chest, a painful cost,
For all the healthy years you’ve lost.
A wicked dust, a fiber fine,
The brutal legacy… of the asbestos line.

 

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