Presentation
A female patient complaining of hand pain
Patient Data
Age: Adult
Gender: Female
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Frontal

CXR demonstrates prominent hilar and mediastinal lymph node enlargement.
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Frontal

X-ray both hands reveal bilateral asymmetrical lace-like bone resorption involving the phalanges.
Case Discussion
Classic features of sarcoidosis involvement of mediastinal lymph nodes and both hands.