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Garlands triad

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Shortness of breath and lethargy. Clinically believed to have sarcoidosis.

Patient Data

Age: 35 years
Gender: Male
x-ray

Bilateral hilar lymphadenopathy as evidenced by in filling of the hilar angles.

Widening of the right paratracheal stripe in keeping with paratracheal lymphadenopathy.

The lungs are clear.

Heart size normal.

Case Discussion

Garland triad is a lymph node enlargement pattern on chest x-ray. It is the combination of bilateral hilar and right paratracheal lymphadenopathy. It was originally described in sarcoidosis although can occur from other etiologies.

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