CXR Case 030
A 28 year old female presents with painful lesions on her shins and malaise
AP CXR 
Lower limbs
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Describe and interpret this CXR and clinical image
IMAGE INTERPRETATION
CXR Interpretation:
There is bilateral hilar adenopathy.
* There are a few subtle reticulonodular shadows within the lung parenchyma.
Clinical Image:
This is erythema nodosum
CLINICAL CORRELATION
This is sarcoidosis, specifically Löfgren syndrome.
* The lung parenchyma changes are subtle and would require CT to confirm.
CLINICAL PEARLS
Löfgren syndrome is generally a more mild acute presentation of sarcoidosis, with fever, bilateral hilar adenopathy, erythema nodosum and arthralgia.
It is far more common in Caucasians and generally has a good prognosis with 80-90% resolving over 1-2 years
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 | ICIS Course ANZ