Presentation
Shortness of breath
Patient Data
Age: 50 years
Gender: Male
From the case:
Sarcoidosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/13399/annotated_viewer_json?lang=us"}
Chest radiograph demonstrated bilateral hilar lymphadenopathy with widening of the superior mediastinum.
From the case:
Sarcoidosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/13400/annotated_viewer_json?lang=us"}
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.