Sarcoidosis: stage 1 on chest radiograph

Case contributed by Dr Christoph Berliner

Presentation

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

Patient Data

Age: 31
Gender: Male
Modality: X-ray

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

The plain film demonstrates a 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 distraction, multiple cystic and/or bullous destruction of the lung)
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Case Information

rID: 22067
Case created: 8th Mar 2013
Last edited: 10th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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