This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: AIIMS 2018, Subject name: Medicine
A 45 year patient working in a factory for past 20 years presents with breathlessness. HRCT chest shows pleural thickening and fibrosis. Histopathology of the lesion shows? 
Select and explain. 
A. Asbestosis, B. Cotton fiber, C. Coal worker pneumoconiosis, D. Silicosis
A: Asbestosis
Answer: A: Asbestosis 
Explanation: Option A: In interalveolar septa There is presence of Irregular lobulated fusiform beaded bodies Ferruginous bodies- Diagnostic of asbestosis Pleural thickening Option B: Cotton Fiber-Byssinosis Option C: Coal worker pneumoconiosis Pleural thickening manifestation not seen. Option D: Silicosis is associated with Bilateral HilarLymphederopathy & development of infiltrative lung disease.