Pneumoconiosis results from the accumulation of fine inhaled particles that cause an inflammatory reaction within the lung. Fibrotic pneumoconiosis predominates, and its cause is the inhalation of particles like silica, asbestos fibres, beryllium, talc, and coal dust (1,2)
Simple pneumoconiosis is caused by the accumulation of relatively small (up to 5mm in diameter) aggregations of coal particles.
These particles are roughly uniformly distributed and are seen on the chest radiograph as delicate micronodular mottling, appearance determining grading.
The cause of the pneumoconiosis is the inhalation of the mineral or metal.
Reference
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