Sarcoidosis

Case contributed by Oliver Hennessy , 18 Feb 2015
Diagnosis almost certain
Changed by Henry Knipe, 6 Sep 2015

Updates to Study Attributes

Findings was changed:

No prior X-rays were available for comparison.

The radiograph shows a coarse predominantly  reticular infiltrate in both upper lobes.

There There is associated significant volume loss on both sides.

No definite mediastinal or hilar abnormality is present.

Heart side Heart size and shape is normal.Both. Both pleural spaces are clear.

Images Changes:

Image 2 X-ray (Lateral) ( update )

Position was set to .

Updates to Study Attributes

Findings was changed:

HRCT.

The mediastinum demonstrates extensive calcified lymph nodes.

Conventional and HR lung windows show extensive architectural distortion of lung tissue, associated with marked fibrosis, predominantly in both upper zones.

Multiple pulmonary nodules are present in both lungs, many lie in a sub pleuralsubpleural and along the fissures

Multiple Multiple ill defined conglomerate masses are present in addition.

The appearances are in keeping with sarcoidosis.

Images Changes:

Image CT (C+ arterial phase) ( update )

Specifics was set to C+ arterial phase.

Updates to Case Attributes

Diagnostic Certainty was set to .

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