EURORAD ESR

Case 13554

Atypical manifestations of sarcoidosis: A case report

Author(s)
Dr Fozia Naz, Dr Saima Riaz, Dr Imran Khalid Niazi, Dr Humayun Bashir

Johar Town Lahore,
Shaukat Khanam Cancer Hospital;
Johar Town
54000, Pakistan;
Email:n_fozia@yahoo.com
 
Patient
female, 61 year(s)
 
 
  • Figure 1
    Pre-treatment axial CT and PET-CT image of chest

    Typical sites of lymphadenopathy involving mediastinal and bilateral hilar lymph nodes.

     
    Area of Interest: Lymph nodes; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Pre-treatment axial CT and PET-CT image (neck and abdomen)

    Atypical metabolically active left supraclavicular (A, B) and portal hepatis lymph nodes (C, D).

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Pre-treatment axial CT and PET-CT image of chest

    Metabolically active spiculated opacity in the left upper lobe posterior segment with multiple pulmonary nodules.

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Post-treatment axial CT and PET-CT image of chest

    Previously noted significantly avid mediastinal lymphadenopathy has reduced in size, without any significant FDG uptake on current examination.

     
    Area of Interest: Lymph nodes; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    Post-treatment axial CT and PET-CT image

    Left supraclavicular lymph node (A, B) and bulky periportal lymph adenopathy (C, D) has also significantly decreased without significant FDG uptake within residual subcentimetre lymph nodes.

     
    Area of Interest: Lymph nodes; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 6
    Post-treatment axial CT and PET-CT image of chest

    Previously noted spiculated opacity in left upper lobe has significantly reduced in size, this currently has a thickness of around 11 mm as compared to 21 mm, with completely resolved metabolic uptake within this...

     
    Area of Interest: Lung; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Typical sites of lymphadenopathy involving mediastinal and bilateral hilar lymph nodes.
 
Atypical metabolically active left supraclavicular (A, B) and portal hepatis lymph nodes (C, D).
 
Metabolically active spiculated opacity in the left upper lobe posterior segment with multiple pulmonary nodules.
 
Previously noted significantly avid mediastinal lymphadenopathy has reduced in size, without any significant FDG uptake on current examination.
 
Left supraclavicular lymph node (A, B) and bulky periportal lymph adenopathy (C, D) has also significantly decreased without significant FDG uptake within residual subcentimetre lymph nodes.
 
Previously noted spiculated opacity in left upper lobe has significantly reduced in size, this currently has a thickness of around 11 mm as compared to 21 mm, with completely resolved metabolic uptake within this mass-like lesion.
 
 
 
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