Ths term is usually used in interpretation of chest x-ray examination. It means irregular, thickened lines at the uppermost part of your lung, like a scar, caused by chronic reaction for some inflammation or infection. In my place it is mostly caused by tuberculosis.
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Tuberculosis
Histoplasmosis
Extrinsic allergic alveolitis
Silicosis
Coal workers pneumoconiosis
Ankylosing spondylitis
Radiotherapy
Sarcoidosis
Bilateral apical fibrosis is a term used when reading CT scan and x-rays. It refers to scarring from past infections in the lungs.