16th January 2024

A 47-year-old ex-coal miner reports a six-month history of progressive dyspnoea and a dry cough.

A 47-year-old ex-coal miner reports a six-month history of progressive dyspnoea and a dry cough. He also describes a nine-month history of insidious onset arthralgia and joint swelling. He states the arthralgia mainly affects his hands and wrists. A chest x-ray is performed. Which finding would you most expect to see on his x-ray?

Select the SINGLE most appropriate option from the list below. Select ONE option only.