Miliary sarcoidosis

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Shortness of breath.

Patient Data

Age: 40 years
Gender: Male

Initial CXR

x-ray

Innumerable miliary nodules, otherwise normal.

Initial CT scan

ct

Innumerable miliary nodules, mildly enlarged mediastinal lymph nodes.

CXR 6 months later

x-ray

Near-complete resolution of miliary nodules following initiation of steroid therapy 6 months prior. 

Case Discussion

On occasion, sarcoidosis may present with a miliary pattern. Histology showed non-caseating granulomas. No tuberculosis bacilli were cultured.

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