Presentation
Chronic cough wheeze , clinically suspecting autoimmune disease.
Patient Data
Age: 55 years
Gender: Male
From the case:
Pulmonary sarcoidosis with lymph node calcification
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Bilateral hilar enlargement, with filling in of the pulmonary angle, consistent with lymphadenopathy.
Minor widening of the distal right paratracheal stripe, likely to reflect further nodal enlargement.
No focal lung lesion. Heart size normal.
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Multiple calcified bilateral hilar and right paratracheal lymph nodes.
The lungs are clear. Heart size normal.
Case Discussion
Interval imaging of a sarcoidosis patient with mediastinal lymphadenopathy, which subsequently calcified.
In the absence of parenchymal lung disease, this is a stage 2 sarcoidosis.
Nodal calcification may occur over time, occurring in less than a quarter of patients.
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