There is a coarse reticular interstitial pattern most severe in the bases.
A pleural plaque is seen in tangent on the right hemidiaphragm. Another is seen en face in the left lower hemithorax. (See detail images.)
There is pleural thickening elsewhere, including a pleural-based mass in the lateral right apex with irregular borders. This latter finding may be a pleural plaque with some associated atelectasis, but it should be approached with caution. Other nodular shadows are seen that may be lung nodules or en face pleural plaques.
Pleural calcification is seen along the diaphragm. It is easiest to see along the left hemidiaphragm on the lateral view. (See detail.)
The lungs are mildly hyperinflated, resulting in flattening of the diaphragm. Bullae are seen in the upper lungs. (See detail.)
Original Source: Leah Love, medical student Submitted by: Paul J Cunningham - Affiliation: Madigan Army Medical Center