Pulmonary sarcoidosis: end-stage

Case contributed by Dr Yair Glick

Presentation

Back pain. History of sarcoidosis.

Patient Data

Age: 60 years
Gender: Female
Modality: X-ray

Lung fibrosis, more severe on right and particularly pronounced in right apex.
Hila pulled cranially, trachea pulled to right.
Bilateral hilar lymph nodes with peripheral calcification.
Right hemidiaphragm higher than the left, probably pulled by severe fibrosis.

Case Discussion

This case demonstrates end-stage (stage IV) pulmonary sarcoidosis.

There is bilateral pulmonary fibrosis. Hilar and mediastinal lymph nodes with eggshell calcification are seen; on the right, the lymph nodes appear to be located in the lung apex because the hilum is pulled up by the fibrotic lung.

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Case Information

rID: 52381
Case created: 5th Apr 2017
Last edited: 5th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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