CXR Case 029

A 32 year old old male presents with a dry cough, malaise and arthralgia

CXR CASE 029 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is bilateral hilar adenopathy and bands of atelectasis in both lung bases.

*Lung parenchyma looks normal.


CLINICAL CORRELATION

This is sarcoidosis (stage 1 on radiological classification)

*Important differentials to consider would be lymphoma and TB *

Lymph node biopsy (these days guided by endobronchial ultrasound) demonstrating non-caseating granuloma is needed to secure the diagnosis


CLINICAL PEARLS

Once the diagnosis is secure, sarcoidosis that is not causing organ damage does not necessary need treatment, ~85% of cases at this stage will resolve spontaneously over 8-12 months.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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