Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: Adult

Coarsened pulmonary parenchymal markings particularly in the upper zones with mediastinal nodal enlargement. 

18 months later

  • extensive retractile emphysema in the posterior periphery of both apices with multiple thin-walled air cysts
  • fibrosis in the mid to lower lung zones
  • bilateral lower lobe bronchiectasis
  • extensive lower lobe micronodularity
  • ground-glass opacity in the lingula and generalized more diffuse ground-glass opacity
  • extensive basilar pleural thickening
  • adenopathy
    • prevascular
    • right paratracheal (conglomerate mass) of nodes. 
    • numerous subcentimeter axillary nodes bilaterally

Case Discussion

End-stage pulmonary sarcoidosis established clinically.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.