72 M DOE x 6 mo 96 p yr hx, coal miner digital clubbing SPO2 88% CXR – b/l upper lobe masses and areas of consolidation Dx?

72 M
DOE x 6 mo
96 p yr hx, coal miner
digital clubbing
SPO2 88%
CXR – b/l upper lobe masses and areas of consolidation
Dx?
 
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