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Sarcoidosis

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Sarcoidosis

History: History (can include gestational age, or age in days, weeks, months): 70 y/o female for follow up CT scan to monitor for any pulmonary changes due to a recent 15lb weight loss, otherwise asymptomatic.

Findings: 1. The parenchyma of the lung demonstrates bilateral upper lobe predominant fibrotic changes with interlobular septal thickening. 2. Numerous 1 cm nodular densities with in the periphery. 3. As well as dominant fibrotic masses at the end of the bronchovascular bundle on the right side seen best on image #16 measuring 3.6 cm x 1.7 cm and on the left upper lobe seen best on image #10 measuring 2.4 cm X 1.8 cm with associated traction bronchiectasis, as well as some sparse areas of effected regions within the superior segments of the lower lobes bilaterally as well as the right middle lobe, which appears to have not changed significantly in comparison with the prior CT scan performed on 27 Feb 2002. 4. No evidence of pleural effusion or pneumothorax. 5. Mediastinum demonstrates no evidence of lymphadenopathy pathologic by size criteria. 6. No evidence of axillary lymphadenopathy pathologic by size criteria.

Ddx: Nodular Interstitial Pattern: Granulomatous diseases both infectious (TB, Fungal, Bacteria, Atypical mycobacterium) and non- infectious (Sarcoidosis, Vasculitis-granulomatosis diseases, Histiocytosis) Hematogenous spread of malignancy, and, Pneumoconiosis.

Dxhow: Biopsy

Exam: Na, K, Cl, CO2, Glucose, BUN, Creatinine, CA, drawn on the same day the CT scan was taken were all normal.

No MeSH data available.


Sarcoidosis
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MPX1892_synpic23311: Sarcoidosis


Sarcoidosis

Patterson RAP - MedPix

Sarcoidosis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1892&req=5

MPX1892_synpic23311: Sarcoidosis

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Sarcoidosis

History: History (can include gestational age, or age in days, weeks, months): 70 y/o female for follow up CT scan to monitor for any pulmonary changes due to a recent 15lb weight loss, otherwise asymptomatic.

Findings: 1. The parenchyma of the lung demonstrates bilateral upper lobe predominant fibrotic changes with interlobular septal thickening. 2. Numerous 1 cm nodular densities with in the periphery. 3. As well as dominant fibrotic masses at the end of the bronchovascular bundle on the right side seen best on image #16 measuring 3.6 cm x 1.7 cm and on the left upper lobe seen best on image #10 measuring 2.4 cm X 1.8 cm with associated traction bronchiectasis, as well as some sparse areas of effected regions within the superior segments of the lower lobes bilaterally as well as the right middle lobe, which appears to have not changed significantly in comparison with the prior CT scan performed on 27 Feb 2002. 4. No evidence of pleural effusion or pneumothorax. 5. Mediastinum demonstrates no evidence of lymphadenopathy pathologic by size criteria. 6. No evidence of axillary lymphadenopathy pathologic by size criteria.

Ddx: Nodular Interstitial Pattern: Granulomatous diseases both infectious (TB, Fungal, Bacteria, Atypical mycobacterium) and non- infectious (Sarcoidosis, Vasculitis-granulomatosis diseases, Histiocytosis) Hematogenous spread of malignancy, and, Pneumoconiosis.

Dxhow: Biopsy

Exam: Na, K, Cl, CO2, Glucose, BUN, Creatinine, CA, drawn on the same day the CT scan was taken were all normal.

No MeSH data available.