Director (the Department of Labor). for designated responsi

MEDICAL EVIDENCE
(The first letter of the letter codes with the test dates represents the submitting party for the evidence: stands for

ble operator, the employer, and for claimant. The
second letter of each code indicates if the evidence is for Evidence of record, for New evidence developed for
this claim or for Rebuttal evidence.)

CLAIM NO.: LM 

X-ray Evidence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X-RAY Reread X-RAY Reader' Film 
Film Date Date Name Of Reader Qualifications Quality Interpretation
08/09/2000 08/09/2000 MN. Patel Board-certified; B-reader 2 1/1*
09/26/2000 P.J. Barrett Board-certified; B-reader 2 1/1* 
08/21/2003 D-N MN. Patel Board-certified; B-reader 2 -
08/21/2003 10/21/2003 DN P. J. Barrett Board-certified; B-reader 2 Quality Reading
09/15/2003 10/07/2003 K.A. DePonte Board-certi?ed; B-reader 1 
MODIFICATION 10/2005
1 08/01/2005 08/02/2005 C-N K.A. DePonte Board-certified, B-reader 2 
MODIFICATION 01I2006
. 01/10/2006 02/02/2006 R-N J.R. Castle B-reader 2 1/1
SUBMITTED BEFORE ALJ
I 01/21/2000 10/28/2004 J.F. Wiot Board-certified; B-reader 2 Neg
08/21/2003 11/25/2003 J.F. Wiot Board-certified; B-reader 1 Neg
2' 08/21/2003 12/05/2003 H.B. Spitz Board-certified; B-reader 1 Neg
09/15/2003 11/09/2004 J.F. Wiot Board-certified; B-reader 2 Neg
12/09/2003 12/09/2003 K.E. Hippensteel B-reader 1 1/0
I 12/09/2003 05/29/2004 J.F. Wiot Board-certified; B-reader 1 Neg 
12/09/2003 05/25/2004 C.A. Myer Board-certified; B-reader 1 Neg 1
1 12/09/2003 05/29/2004 H.B. Spitz Board-certified; B-reader 1 Neg
1 12/09/2003 11/12/2004 K.A. DePonte Board-certified; B-reader 1 
07/02/2004 07/02/2004 R.J. McSharry Board-certified Internal Few rounded 
Medicine, Pulmonary lesions 
Medicine, Critical Care suggesting the i
Medicin presence of 
pneumoconiosis.
No evidence of
PMF
07/02/2004 08/04/2004 PS. Wheeler Board-certified; B-reader 1 Neg
07/02/2004 07/16/2004 W.S. Scott Board-certified; B?reader 1 Neg
r07/02/2004 07/16/2004 J.C. Scatarige Board-certified; B-reader 2 Neg
07/02/2004 08/28/2004 J.F. Wiot Board-certified; B-reader 2 Neg
07/02/2004 09/14/2004 H.B. SLpitz Board-certified; B-reader 2 Neg
07/02/2004 11/12/2004 K.A.DePonte Board-certified; B-reader 1 
06/30/2005 07/01/2005 Watkins/Pulaski Comm. No acute
Hosp. findings in chest. 1
08/01/2005 10/02/2006 J.F. Wiot Board-certified; B-reader 1 1/1 
01/10/2006 02/13/2006 J.F. Wiot Board-certified; B-reader 2 1/1 
01/10/2006 08/04/2006 K.A. DePonte Board-certified; B-reader 1 1
01/13/2006 12/29/2008 J.F. Wiot Board-certified; B-reader 1 1/2 
04/27/2006 04/19/2008 J.F. Wiot DIGITAL Board?certified; B-reader 2 1/2 
04/27/2006 04/24/2008 CA. Meyer- DIGITAL Board-certified; B-reader 2 1/1 
i 02/26/2008 02/27/2008 B. AntounfThe Clinic Moderate diffuse 
interstitial fibrosis
likely sequel of .
coal workers' 
pneumoconiosis. 
02/26/2008 1 12/29/2008 J.F. Wiot Board-certified; B-reader 1 1/2 I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11/14/2008 12/19/2008 0 K.A. DePonte Boa 50nd? 
11/14/2008 02/25/2009 C.A.Meyer 806 1 .
01/13/2006 01/13/2006 0 Forehand B-re 
Modification
03/2014
08/14/2013 08/26/2013 A DePonte B-re ers?
REPORT ONLY iosis.
atous
MODIFICATION 03/2010
12/07/2009 12/12/2009 C-N K.A. DePonte Boa
12/07/2009 11/27/2009 R-R c.A. Meyer Boa 5 .
12/07/2009 12/14/2010 R-R J.F. Wiot Board-certified; B-reader 2 1/1
MODIFICATION 10l2011 NO EVIDENCE SUBMITTED
MODIFICATION 06/2012
12/05/2011 C-N K.A. DePonte Board-certi?ed; B-Reader Interstitial lung
disease
consistent with
coal workers?
pneumoconiosis.
MODIFICATION 10/2013 NO X-RAY EVIDENCE
SUBMITTED
12/11/2012 08/26/2013 C-N A DePonte Board-certi?ed; B-reader CWP mild

COPD
MODIFICATION 08/2016
Lowe/2016 07/19/2016 C-N Forehand B-reader 1 
*X-ray films from miner?s 1St file. not submitted
Pulmonary Function Study (PFS) Evidence
- . 
Date Physician Hgge?t FEV1 if)? STANDARDS ValidFEV1 MW. 
08/21/2003 D-N D.L. Rasmussen 63/71 3.46 157 4.84 71% 2.10 84 2.69 exceeds
MODIFICATION
10I2005
01/10/2006 R-N JR. Castle 65/72 3.12 91.0 4.33 72% 2.13 085 2.73 
MODIFICATION
2015
08/04/2005 C-E David N. 75/715 2.96 4.16 71% 2.01 080 2.59 exceed
Pre Weissman
The is 55%
?Exercise ABG dated 01/10/06 was stopped due to elevated blood pressure
ArterialB?od-qas (ABG) Evidence
. 5., Resting/4 P02 Disabili
Date Physician . f. Exercise? Pcoz .. 513.912 Standards? _,.Altltude Vaiiggl
08/21/2003 D-N D.L. Rasmussen Resting 38.0 70.0 62 0- 2999 exceeds
Exercise 38.0 78.0 62 0- 2999 exceeds
MODIFICATION
10I2005
01/10/2006 R-N J.R. Castle Resting 36.6 93.3 63.0 0-2999 exceeds

 

 

 

 

 

 

 

 

 

Physical Examination] Other Evidence

 

Exam
Date

Examining

 



 

Findings A

 

08/21/2003 D-N

D.L. Rasmussen MD
Board-certified in Internal
Medicine

Physical Exam: Diagnosis: CWP complicated. category A, 35 years
coal mine employment and x-ray evidence of pneumoconiosis.
Question cardiac disease - Abnormal exercise EKG.

Etiology: CWP complicated, category A, coal mine dust exposure.
Question cardiac disease - Non occupational factor.

Impairment: The patient exhibits poor exercise tolerance as reflected
by the increased oxygen uptake. The patient has no significant loss of
lung function. He retains the pulmonary capacity to perform his last
regular coal mine job.

 

MODIFICATION
10/2004

 

08/16/2004 R-N

Harold B. Spitz, MD -
Professor of Radiology -
B-reader

09/16/2005 - Report of Interpretation of CT Scan dated 08/16.2004 CT
impression:
1. The nodular densities in the upper and middle portions of the
lungs are consistent with simple coal workers? pneumoconiosis.
2. The two somewhat larger nodules on the right could represent
malignancy

 

MODIFICATION
2006

 

01/10/2006 R-N

James R. Castle MD -

Physical Exam: After reviewing all the data obtained at the time of my
evaluation, I arrived at the following assessment:

1. Radiographic changes consistent with simple coal workers'
pneumoconiosis.
No evidence of respiratory impairment from any cause.
Significant hypertension
Resting tachycardia of uncertain etiology
History of prostate cancer
Both the hypertension and resting tachycardia need further
evaluation and claimant was informed of this.
Physician also reviewed additional medical data that was submitted
with the claimant. The medical evidence is listed in Dr. Castle's report
of 02/06/2006. After a very thorough and extensive review of all the
additional medical data submitted as well as a review of the data
obtained at the time of my evaluation, I have arrived at the following
opinions and conclusions: It is my opinion with a reasonable degree of
medical certainty that Mr. Brock most likely does have radiographic
changes consistent with simple coal workers;? pneumoconiosis. He
does not have evidence of complicated coal workers' pneumoconiosis.
Impairment: Mr. Brock does not have any respiratory disability from
any cause including coal workers' pneumoconiosis. From a purely
pulmonary point of View, he does retain the respiratory capacity to
perform his previous coal mine employment duties. It is entirely
possible that Mr. Brock is disabled as a result of cardiac disease
and/90r hypertension. Both of these conditions of the general public at
large and are unrelated to the inhalation of coal mine dust and coal
workers? pneumoconiosis.

939?99?19

 

09/04/2004 - 

Robinette

It is my impression that Mr. Brock has evidence of an occupational
pneumoconiosis which occurred as a direct consequence of his prior
coal mining employment. He clearly has evidence of axillary
coalescence and pneumoconic nodules and an opacity in the right
upper lobe which maybe consistent with complicated pneumoconiosis

 

07/29/04 - 

Robinette

Coal workers' pneumoconiosis with underlying progressive massive
fibrosis.

 

MODIFICATAION
2012

 

12/05/11-
04/13/2012 

Dr. Habre Board-certified
in Internal Medicine;
Subspecialty in Pulmonary
Disease

Treatment Notes:

 

MODIFICATION
2014

 

 

08/14/2013 C-E

 

Appalachia Family Health

 

Treatment Records: Follow-up treatment for complicated coal

 

 

 

workers' pneumoconiosis.

 

ALJ Evidence

 

08/16/2004 

J.F. Wiot - Board-certified;
B-reader

08/16/2004 CT: There is evidence of early minimal simple CWP.

 

08/16/2004 R-E

H.B. Spitz - Board-
certified; B-reader

08/16/2004 CT: The nodular densities in the upper and middle portions
of the lungs are consistent with simple CWP.

 



 

MODIFICATION 2015

 

 

08/14/2015 C-N

J. Randolph Forehand
Board-certified Pediatrics;
Subspecialty Allergy 
Immunology

08l14/2015 CT:

1. History of significant occupational coal and silica dust exposure

underground coal mine and preparation plant.

2. Unequivocal radiographic evidence of reticulonodular fibrosis in
both lungs with a dominant nodule in the right upper lobe
measuring 10 mm, consistent with complicated coal workers?
pneumoconiosis with progressive massive fibrosis.

08l04/2014 CT wlcon: Extensive reticular nodular fibrosis and calcified
hilar/mediastinal overall suggestive of
pneumoconiosis. Dominant nodule in the right upper lobe measures
10mm. No clearly suspicious lesions are seen at this time. Given the
patient's history of mining smoking, and prostate/head and neck
cancer, continued surveillance is suggested with a repeat CT in six
months to confirm stability.

1



 

10/09/2015 C-N

Wellmont Health System

10/09/2015 CT on Cont:

Nodular interstitial lung disease in a pattern typical for coal workers'

pneumoconiosis. Several opacities equal to and exceeding 1 cm in

diameter consistent with complicated coal workers' pneumoconiosis.
Malignancy in any one of these nodules cannot be entirely excluded.

 

 

10/09/2015 C-E

Godwin - board-
certified, B?reader

CT 10/09/15 read by Dr. Godwin

Coal Workers' Pneumoconiosis, Mild possible
granulomatous infection, histoplasmosis vs TB, atherosclerosis and
possible aortic stenosis.

 

 

 

MODIFICATION 08/2016

 

07/19/2016 C-E

Forehand Board-
certified Pediatrics;
Subspecialty Allergy 
immunology

Treatment Record: Complicated coal workers? pneumoconiosis with
progressive massive fibrosis.

04/11/2016 CT Chest WO Contrast: Coal workers' pneumoconiosis
with progressive massive fibrosis.

 

 

04/11/2016 C-E

 

A DePonte - Board-
certified; Radiologist

 

CT Coal workers? pneumoconiosis with progressive
massive fibrosis.