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MedPix COW - Case of the Week

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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 No: 5999 - History

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

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Pulmonary Sarcoidosis

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

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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.

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Pulmonary Sarcoidosis - Hilar Adenopathy

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

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Pulmonary Sarcoidosis - Hilar Adenopathy

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

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Pulmonary Sarcoidosis

There is hilar adenopathy.

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Pulmonary Sarcoidosis - Hilar Adenopathy

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

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Pulmonary Sarcoidosis

LAT - bilat hilar adenopathy

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Pulmonary Sarcoidosis

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

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Pulmonary Sarcoidosis - Hilar Adenopathy

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

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Pulmonary Sarcoidosis - Hilar Adenopathy

Axial ct with contrast showing muliple hilar and mediastinal lymph nodes (LN) Also labeled: Arrow - air in esophagus AAo - Ascending aorta DAo - Descending aorta LB - left bronchus RMB - right mainstem bronchus RUL - right upper lobe bronchus SVC - superior vena cava (with contrast)

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Pulmonary Sarcoidosis

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

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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 esophagus AAo - Ascending aorta DAo - Descending aorta LB - left bronchus RMB - right mainstem bronchus RUL - right upper lobe bronchus SVC - superior vena cava (with contrast)

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

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