Pneumoconiosis and tuberculosis are different. First, it's important to understand that tuberculosis is a common and contagious respiratory disease. Pneumoconiosis, on the other hand, often results from inhaling mineral dust, causing diffuse pulmonary fibrosis. Clinically, patients primarily exhibit symptoms such as cough, expectoration, shortness of breath, chest tightness, and, as the condition worsens, these symptoms can lead to difficulty breathing. Clinically, this has a significant connection to occupational diseases, which greatly differentiates it from tuberculosis.