Case contributed by Ahmed Abdrabou


Dyspnea, cough and expectoration of several months duration

Patient Data

Age: 30 years
Gender: Female

Bilateral interstitial pulmonary changes more at upper zones with silhouetting of cardiac borders and multiple apical bullae and other cystic changes.


Bilateral many apical ground glass opacity with reticulonodular infiltration, honey combing, traction bronchiectasis and cystic changes and apical bullae. Multiple prevascular, preaortic, subcarinal and bilateral hilar enlarged lymph nodes are noted. The pulmonary trunk and its branches are dilated.

Diagnosis: Pulmonary sarcoidosis (Stage II) complicated by cor pulmonale (Clinical and imaging features)

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