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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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MedPixCOW - Case of the Week


MedPix No: 5999 - History

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


MedPix No: 5999 - EXAM & LABS


Pulmonary Sarcoidosis

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


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.


Pulmonary Sarcoidosis - Hilar Adenopathy

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


Pulmonary Sarcoidosis - Hilar Adenopathy

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


Pulmonary Sarcoidosis

There is hilar adenopathy.


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).


Pulmonary Sarcoidosis

LAT - bilat hilar adenopathy


Pulmonary Sarcoidosis

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


Pulmonary Sarcoidosis - Hilar Adenopathy

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


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)


Pulmonary Sarcoidosis

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


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)


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


DIFFERENTIAL DIAGNOSISWhate is your Differential Diagnosis?


Diagnosis: Pulmonary SarcoidosisDx Confirmed by:


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