Pneumoconiosis refers to a group of lung diseases caused specifically by the inhalation of solid mineral dust that lodges in lung tissue and triggers scarring over time. NO\(_x\) is a gas, not a particulate, and its effect on the lungs is irritation rather than fibrotic dust disease. Lead and cadmium are both heavy metals whose toxicity mainly plays out elsewhere in the body, in the nervous system and kidneys respectively, once absorbed, rather than as a lung dust disease. Silica, however, is inhaled as fine mineral dust that becomes trapped in the alveoli and provokes a long-term fibrotic response, which is the textbook mechanism of pneumoconiosis, in this instance called silicosis.
Therefore, the correct answer is Silica.
Grouping these four substances by the organ system they primarily damage narrows this down quickly.
Since pneumoconiosis is a lung-specific dust disease and only silica among these options is a mineral dust that directly damages lung tissue in this way, it is the correct cause.
Therefore, the correct answer is Silica.