CXR Case 031

A 32 year old female presents with dry cough and dyspnoea

CXR CASE 031 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is bilateral hilar adenopathy with a predominantly nodular infiltrate in the lung fields, sparing the bases.


CLINICAL CORRELATION

This is sarcoidosis (Stage II on radiological classification).


CLINICAL PEARLS

Other than a biopsy and CT chest, routine tests to investigate sarcoidosis should include lung function including gas transfer, ECG, renal function, calcium, serum ACE levels.

*Note: Angiotensin-converting Enzyme (ACE) levels are not diagnostic of sarcoidosis and a normal serum ACE with sarcoidosis is equally possible.

*Serum ACE is only useful to track disease progression / response, if it is elevated.


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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