Sarcoidosis

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Shortness of breath

Patient Data

Age: 50 years
Gender: Male
x-ray

Chest radiograph demonstrated bilateral hilar lymphadenopathy with widening of the superior mediastinum.

ct

 CT (for which limited slices are shown) confirmed mediastinal and bi-hilar lymphadenopathy.  Enlarged main pulmonary artery. No consolidation.

Case Discussion

The differential includes sarcoidosis, TB and lymphoma. The appearance and distribution of nodes are suggestive of sarcoidosis and this was confirmed at transbronchial nodal biopsy.

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