Case contributed by A.Prof Frank Gaillard

Chest x-ray demonstrates upper zone reticulonodular opacities with extensive mediastinal and hilar nodal enlargement.


CT of the chest demonstrates diffuse areas of nodularity predominantly in a peribronchial distribution with patchy areas of consolidation particularly in the upper lobes. There is some surrounding ground glass opacities. No gross reticular changes to suggest fibrosis.

Marked mediastinal and perihilar adenopathy is present.

Case Discussion

Bronchial biopsy: several multinucleated giant cells identified in a chronic inflammatory, non-necrotizing background; observations are consistent with sarcoidosis.

Final diagnosis

Biopsy proven sarcoidosis. Stage II.

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Case information

rID: 6546
Published: 9th Jul 2009
Last edited: 29th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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