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MedPix COW - Case of the Week PowerPoint PPT Presentation


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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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Medpix cow case of the week

MedPixCOW - Case of the Week


Medpix cow case of the week

MedPix No: 5999 - History

Pt Demographics: Age = 61 y.o. Gender = man61 yo with history of dyspnea


Medpix cow case of the week

MedPix No: 5999 - EXAM & LABS


Medpix cow case of the week

Pulmonary Sarcoidosis

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


Medpix cow case of the week

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.


Medpix cow case of the week

Pulmonary Sarcoidosis - Hilar Adenopathy

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


Medpix cow case of the week

Pulmonary Sarcoidosis - Hilar Adenopathy

There is bilateral right greater than left hilar enlargement and pleural thickening. Notice how the bilateral hilar adenopathy resembles potatoes.


Medpix cow case of the week

Pulmonary Sarcoidosis

There is hilar adenopathy.


Medpix cow case of the week

Pulmonary Sarcoidosis - Hilar Adenopathy

There is hilar adenopathy. and pleural thickeningAlso labeled: trachea - blue rectangle, hilar lymph nodes (yellow); heart and arch of aorta (red).


Medpix cow case of the week

Pulmonary Sarcoidosis

LAT - bilat hilar adenopathy


Medpix cow case of the week

Pulmonary Sarcoidosis

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


Medpix cow case of the week

Pulmonary Sarcoidosis - Hilar Adenopathy

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


Medpix cow case of the week

Pulmonary Sarcoidosis - Hilar Adenopathy

Axial ct with contrast showing muliple hilar and mediastinal lymph nodes (LN)Also labeled: Arrow - air in esophagusAAo - Ascending aortaDAo - Descending aortaLB - left bronchusRMB - right mainstem bronchusRUL - right upper lobe bronchusSVC - superior vena cava (with contrast)


Medpix cow case of the week

Pulmonary Sarcoidosis

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


Medpix cow case of the week

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 esophagusAAo - Ascending aortaDAo - Descending aortaLB - left bronchusRMB - right mainstem bronchusRUL - right upper lobe bronchusSVC - superior vena cava (with contrast)


Medpix cow case of the week

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


Medpix cow case of the week

DIFFERENTIAL DIAGNOSISWhate is your Differential Diagnosis?


Medpix cow case of the week

Diagnosis: Pulmonary SarcoidosisDx Confirmed by:


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