摘要
chronic necrotizing pulmonary aspergillosis is un uncommon disease which is found in people with underlying lung disease or in mildly immunocompromised patients. it is an exceptional complication in silicosis and its diagnosis is difficult because it simulates other diseases like tuberculosis and cancer which are more common in such patients. we report on three cases with a long history of silica dust exposure with pulmonary aspergillosis complicating progressive massive fibrosis (pmf). we review their clinical, radiological and treatment features.