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.

PlayAdd to Share

Case information

rID: 7690
Published: 19th Nov 2009
Last edited: 25th Aug 2020
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.