Given the diagnosis of sarcoidosis what stage is this patient's disease? a) stage 0 b) stage I c) stage II d) stage III e) stage IV
Stage II: nodal enlargement and parenchymal disease - 25-30% of patients at presentation.
There is extensive bilateral (<3 mm) nodular pulmonary infiltrate with nodularity also present in relation to the fissures. In addition, there is bilateral hilar and paratracheal lymphadenopathy. The subpleural region is involved and there is relative sparing of the bases.
Within the upper abdomen, the whole of the spleen is not completely visualised but measures at least 13 cm, suggesting splenomegaly. Renal cyst and calculi.