EURORAD ESR

Case 13946

Atypical manifestation of pulmonary sarcoidosis simulating metastatic disease

Author(s)
Fahad Mewazy Al-Hamidi, Mark Owen

Withybush General Hospital,
Hywel Dda Health Board, Radiology;
email: Fahad.Mewazy@wales.nhs.uk
 
Patient
male, 20 year(s)
 
 
  • Figure 1
    CXR

    Chest x-ray demonstrated bilateral lung nodules and hilar lymphadenopathy.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Lung window CT images
     

    Lung image showed sarcoid galaxy sign which described large nodules surrounded by tiny satellite nodules and ground glass attenuation.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;

    CT image illustrated more nodules and ground glass opacities.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;

    CT lung image showed bilateral nodules along the bronchovascular bundles.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 3
    Mediastinum window CT images
     

    Mediastinal and hilar lymphadenopathy. Lung nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;

    CT coronal image showed the extent of mediastinal and hilar lymphadenopathy.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;

    CT coronal image demonstrated bilateral multiple perilymphatic lung nodules.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
Chest x-ray demonstrated bilateral lung nodules and hilar lymphadenopathy.
 
Lung image showed sarcoid galaxy sign which described large nodules surrounded by tiny satellite nodules and ground glass attenuation.
 
CT image illustrated more nodules and ground glass opacities.
 
CT lung image showed bilateral nodules along the bronchovascular bundles.
 
Mediastinal and hilar lymphadenopathy. Lung nodules.
 
CT coronal image showed the extent of mediastinal and hilar lymphadenopathy.
 
CT coronal image demonstrated bilateral multiple perilymphatic lung nodules.
 
 
 
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