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Over an 8-year period, 63 cases of occupational bronchopulmonary disease claims were collected. In all cases, studies were made of: Chest X-ray, Spirometry and Arterial Gasometry. Five cases were subjected to a cardiac stress test. There were 21 (35.59%) incongruent cases: cases that do not follow the logical/scientific/statistical sequence of alteration of Spirometry-Radiography-Arterial Gasometry-Cardiac Stress Test in the vast majority of cases. In arterial gasometry, 27 cases (42.85%) presented incongruence of normal oxygen/low oxygen saturation; one case (1.58%) presented incongruence of normal oxygen/high carbon dioxide saturation. Cases with normal stress test, end up further complicating the evaluation and acceptance of previous studies. After observing the results of this study, it is difficult to make a scientific, fair and impartial decision when issuing an expert medical opinion on occupational bronchopulmonary disease.