Pulmonary sarcoidosis

Case contributed by Jeremy Jones


Shortness of breath and leg rash.



Bilateral nodule opacities. Multiple enlarged mediastinal and bilateral hilar lymph nodes.

CT Pulmonary Angiography


Improved hilar lymphadenopathy.  No filling defect within the pulmonary arteries.
Reduction in the nodular opacities.

Case Discussion

HRCT confirmed bilateral hilar lymphadenopathy and parenchymal nodular opacities diagnosed as sarcoidosis.

Subsequent admission with pleuritic chest pain.  CTPA confirmed improvement in the sarcoidosis and no PE.

Pulmonary and mediastinal involvementis extremely common in sarcoidosis and is seen in over 90% of patients. 

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