CXR Case 032

A 51 year old man presents with syncope. He has a long history of breathlessness and dry cough.

CXR CASE 032 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There are multifocal bilateral reticulonodular air-space opacities, predominantly perihilar and mid zone distribution.


CLINICAL CORRELATION

This gentleman has long standing pulmonary fibrosis caused by sarcoidosis.

There is marked pulmary parenchymal infiltrate and established fibrosis (sarcoidosis stage IV on radiological classification).


CLINICAL PEARLS

The cause of his syncope could be from cardiac sarcoid causing conduction defects.

*Whilst widely quoted in text books, the radiological stage (I to IV) for sarcoidosis does not take into account extra-thoracic manifestations of sarcoid and it does not necessarily influence management.*


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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