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Radiology General e7965952

Chest X-ray of an industrial worker exposed to asbestos over 20 years shows an ill-defined rounded opacity in the lower lobe with a 'comet tail' appearance on PA view. Which of the following is the most likely diagnosis-

A
Mesothelioma
B
Bronchogenic carcinoma
C
Round Atelectasis
D
Pulmonary infarct
High-Yield Explanation
A rounded opacity in the lower lobe of an industrial worker exposed to Asbestos with a classical 'comet tail' sign suggests a diagnosis of 'Rounded Atelectasis'. Comet Tail Sign This refers to the presence of crowded bronchi and blood vessels that extend from the lower border of the mass and coverage to the adjacent hilum creating a whorled appearance of the bronchovascular bundle.

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