“The mass is larger and more defined in the right upper lobe,” he continues, clinically describing the solid streak that shows up white on the X-ray of his lungs. “If you know white is bad and black is good, I’m in a lot of trouble.”
McCowan went from a clean X-ray at age 35 to progressive massive fibrosis — an advanced stage of coal workers’ pneumoconiosis, or black lung — in just five years.