Case contributed by Dr Hidayatullah Hamidi


Cough and malaise for 3 weeks. Chest radiograph (not available) showed hilar enlargement. Suspected chest infection, likely tuberculosis.

Patient Data

Age: 35 years
Gender: Male


  • multiple enlarged bilateral hilar, subcarinal and right paratracheal lymph nodes
  • irregular nodular thickening in peribronchovascular, perilymphatic and subpleural distribution with an upper/mid lung predominance
  • some discreet centrilobular small, well-defined, soft tissue attenuating nodules

No evidence of pleural thickening or effusion.

Case Discussion

The distribution pattern of the abnormalities is very likely for sarcoidosis rather than pulmonary infection. No typical features of tuberculosis are present.

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Case information

rID: 75064
Published: 15th Mar 2020
Last edited: 16th Mar 2020
System: Chest
Inclusion in quiz mode: Included

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