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MedPix COW - Case of the Week

MedPix COW - Case of the Week. MedPix No: 5999 - History. Pt Demographics: Age = 61 y.o. Gender = man 61 yo with history of dyspnea. MedPix No: 5999 - EXAM & LABS. Pulmonary Sarcoidosis. There is bilateral right greater than left hilar enlargement and pleural thickening. .

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MedPix COW - Case of the Week

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  1. MedPixCOW - Case of the Week

  2. MedPix No: 5999 - History Pt Demographics: Age = 61 y.o. Gender = man61 yo with history of dyspnea

  3. MedPix No: 5999 - EXAM & LABS

  4. Pulmonary Sarcoidosis There is bilateral right greater than left hilar enlargement and pleural thickening.

  5. Pulmonary Sarcoidosis - Hilar Adenopathy There is bilateral hilar enlargement - greater on the right (yellow); and, pleural thickening. Also labeled: aortic arch, descending thoracic aorta, and left ventricle in red. Right atrium in blue. Bowel gas (colon with haustra) under left heart.

  6. Pulmonary Sarcoidosis - Hilar Adenopathy There is bilateral right greater than left hilar enlargement and pleural thickening.

  7. Pulmonary Sarcoidosis - Hilar Adenopathy There is bilateral right greater than left hilar enlargement and pleural thickening. Notice how the bilateral hilar adenopathy resembles potatoes.

  8. Pulmonary Sarcoidosis There is hilar adenopathy.

  9. Pulmonary Sarcoidosis - Hilar Adenopathy There is hilar adenopathy. and pleural thickening Also labeled: trachea - blue rectangle, hilar lymph nodes (yellow); heart and arch of aorta (red).

  10. Pulmonary Sarcoidosis LAT - bilat hilar adenopathy

  11. Pulmonary Sarcoidosis There are chunky calcifications in multiple mediastinal lymph nodes. Pleural nodules and interstitial thickening in the upper lobes.

  12. Pulmonary Sarcoidosis - Hilar Adenopathy There are chunky calcifications in multiple mediastinal lymph nodes. Pleural nodules and interstitial thickening in the upper lobes.

  13. Pulmonary Sarcoidosis - Hilar Adenopathy Axial ct with contrast showing muliple hilar and mediastinal lymph nodes (LN) Also labeled: Arrow - air in esophagus AAo - Ascending aorta DAo - Descending aorta LB - left bronchus RMB - right mainstem bronchus RUL - right upper lobe bronchus SVC - superior vena cava (with contrast)

  14. Pulmonary Sarcoidosis There are chunky calcifications in multiple mediastinal lymph nodes. Pleural nodules and interstitial thickening in the upper lobes.

  15. Pulmonary Sarcoidosis - Hilar Adenopathy There are chunky calcifications in multiple mediastinal lymph nodes. Pleural nodules and interstitial thickening in the upper lobes. Also labeled: Arrow - air in esophagus AAo - Ascending aorta DAo - Descending aorta LB - left bronchus RMB - right mainstem bronchus RUL - right upper lobe bronchus SVC - superior vena cava (with contrast)

  16. FINDINGSCXR- bilateral r>l hilar enlargement and pleural thickening CT- chunky calcification of mediastinal nodes. Pleural nodules and interstitial thickening in upper lobes

  17. DIFFERENTIAL DIAGNOSISWhate is your Differential Diagnosis?

  18. Diagnosis: Pulmonary SarcoidosisDx Confirmed by:

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