Sarcoidosis (alveolar type)

Case contributed by Mohammad Taghi Niknejad
Diagnosis probable

Presentation

50 Y/O patient with chronic cough and dyspnea

Patient Data

Age: 50
ct

Ground glass opacities with peribronchovascular distribution is noted at middle and upper zones of the both lung parenchyma. Traction bronchiectasis with fibrotic changes are seen particularly at left upper lobe. There are calcified geranoloma  at left upper lobe and several peripheral nodules at right upper lobe . Right parateraceal lymphadenopathy is noted.

Case Discussion

In this case the appearance resembles a ground glass attenuation, but with a close look you may appreciate that the increased attenuation is the result of many tiny grouped nodules. The findings are consistent with sarcoidosis ; Pattern and distribution of ground glass opacities is compatible with alveolar type of sarcoidosis

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