Sarcoidosis
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Diagnosis almost certain
Patient Data
Age: Adult
From the case:
Sarcoidosis
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Coarsened pulmonary parenchymal markings particularly in the upper zones with mediastinal nodal enlargement.
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- 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.