Pulmonary sarcoidosis - stage IV

Case contributed by Dr Roberto Schubert

Presentation

Severe dyspnea.

Patient Data

Age: 55 years
Gender: Female
X-ray

Chest

Confluous, bilateral, symmetric reticulonodular opacities.

Marked increase of reticular interstitial pattern particular affecting the perihilar areas, suggestive of advanced fibrosis. 

Upper mediastinal and bilateral hilar enlargement likely representing lymphadenopathy. 

CT

Chest

Irregular, coarse, bilateral nodular thickening showing a primarily perilymphatic distribution

Confluent predominantly perihilar ground-glass opacities. 

Thickened interstitial septae indicating fibrosis. 

Hilar and mediastinal lymphadenopathy (not well demonstrated by the lung window slice).

Case Discussion

Findings are in line with advanced (stage IV) pulmonary sarcoidosis

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Case information

rID: 15951
Published: 26th Nov 2011
Last edited: 12th May 2020
System: Chest
Inclusion in quiz mode: Included

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