Sarcoidosis - stage 1

Case contributed by Christoph Berliner


The patient presented with a history of dyspnea for approximately four months. No other symptoms were described.

Patient Data

Age: 30 years
Gender: Male

Bilateral hilar lymphadenopathy. No lung infiltrations are shown. No fibrosis.

The plain film demonstrates stage 1 sarcoidosis (i.e. bilateral hilar lymphadenopathy).

Case Discussion

Plain chest x-ray can show four different stages of sarcoidosis:

  • stage 1: bilateral hilar lymphadenopathy
  • stage 2: bihilar lymphadenopathy and reticulonodular infiltrates of parts or the entire lung
  • stage 3: bilateral pulmonary infiltrates without signs of hilar lymphadenopathy
  • stage 4: fibrotic degeneration of the lung (possibly with upward hilar traction, cystic and/or bullous destruction of the lung)

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.