Case contributed by Dr Andrew Lawson


MVA, incidental findings during trauma series workup

Patient Data

Age: 32
Gender: Male
Modality: X-ray

Multi-focal infiltrates in the upper lobes.

Widening of the right paratracheal space.

Modality: CT

Large right paratracheal nodal mass measuring 40 mm in diameter displacing the SVC anteriorly. Multiple smaller (15mm) superior right mediastinal and pre vascular nodes are visible as well as a large 20 mm subcarinal node. 13 mm right supraclavicular lymph node. No hilar adenopathy.

Multiple spiculated peripheral peribronchial nodular opacities in upper lobe predominant distribution, ranging in size from 5 mm to 20 mm. Several of these appear confluent. The pleural surfaces are clear. Following No thoracic spinal lesions.

No rib or thoracic spine fracture identified.

Case Discussion

Biopsy proven SARCOID: The smears are hypercellular with scattered clusters of epithelioid cells forming granulomas in a background of mixed lymphoid cells, bronchial cell, degenerate granulomas and blood.

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Case Information

rID: 24797
Case created: 13th Sep 2013
Last edited: 8th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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