MedPix® Patient Chart - Case No: 13572 :: - Review Images

55 y.o. coal miner approximately two months status post posterior cervical fusion for C2-C3 instability. Routine clinical followup shows a leukocytosis. The patient has known rheumatoid arthritis and exposure to coal dust.

Leukocytosis.

- Review Images for PT: 13572

• CXR: interstitial pattern, pulmonary nodules, and faint mass on the right.

• CT: multiple cavitary and noncavitary nodules and masses.

- Review Images for PT: 13572

• Metastatic disease
• Vasculitis
• Septic emboli
• Infection

- Review Images for PT: 13572

Dx: Caplan Syndrome

Dx Confirmed by: Bronchoscopy and history

- Read

Lesion/Condition Name: Caplan Syndrome
Cell of Origin:

WHO Grade(s):

Synonyms: Rheumatoid pneumoconiosis


ICD-0 code: 714.81

Associations/Predisposing Factors: Pneumoconiosis in patients with rheumatoid arthritis

Common Locations:

Demographics:

Gross Morphology:

Gross Appearance:

Histology: hypersensitivity reaction

Special Stains:

Radiology: Cavitating and non-cavitating pulmonary nodules and masses, primarily peripheral

Prognosis and Treatment:

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