Utility of EBUS-TBNA in Evaluating Mediastinal and Hilar Lymphadenopathy in Patients With Silica Exposure

EBUS-TBNA effectively identifies LN silicosis and confirms the diagnosis of parenchymal silicosis in the appropriate clinical-radiologic context. Granulomas can be seen in cytologic specimens of patients with silicosis. In patients with well-defined silica exposure and suspected silicosis, EBUS-TBNA does not impact the preprocedural presumed diagnosis of silicosis. Therefore, EBUS-TBNA should be reserved for cases in which alternative diagnoses are more likely.