Presentation
Chest pain for 3 days. Smoker.
Patient Data
Age: 30 years
Gender: Female
From the case:
Garlands triad
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Bilateral hilar and paratracheal lymphadenopathy.
Heart size normal. Lungs clear.
Case Discussion
Garlands triad (aka the Pawnbrokers sign) due to 3 site lymphadenopathy - both hila and the paratracheal space.
The patient proceeded to CT confirming the above and splenic lesions, making a differential of granulmatous disease and lymphoma most likely.
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