Sarcoidosis

Case contributed by Dr Paul Leong

Presentation

Trauma. Fall down 12 stairs.

Patient Data

Age: 32
Gender: Male
Modality: X-ray

Patchy nodular opacities within the upper and midzones of both lungs.

Thickening of the paratracheal stripe.

No rib fractures seen. No pneumothorax or effusion.

Impression - In the setting of trauma, pulmonary contusions and aspiration could be considered. However, these may also be incidental findings and raise the possibility of sarcoidosis. 

Modality: CT

Multiple upper lobe nodules, in a peribrochial distribution.

Paratracheal and bilateral lymphadenopathy.

No evidence of traumatic injury.

Findings are highly suggestive of pulmonary and mediastinal sarcoidosis.

Case Discussion

Endobrochial biopsy of one of the mediastinal nodes (station 7 node) was in keeping with a granuloma, confirming the diagnosis of sarcoidosis. 

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Case Information

rID: 26802
Case created: 8th Jan 2014
Last edited: 5th Dec 2016
System: Chest
Inclusion in quiz mode: Included

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