COD 149 - The Subtle Lung Signs that Confirm Sarcoidosis

Why evaluating the lungs in detail can help us pick up subtle signs of disease in patients with adenopathy.

Bhavin Jankharia

40-years old with fever, weight loss, raised creatinine.

A left supraclavicular node biopsy before the CT scan showed non-caseating granulomatous disease with GeneXpert negative for TB.

The video discusses the case, the differential of bilateral hilar adenopathy and then why evaluating the lungs in detail can help us pick up subtle signs of disease that can help clinch a diagnosis of sarcoidosis as in this case or tuberculosis, as the case may be.

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Video

This adds to the previous posts on the topics

Snippet 15: CT Scan Findings in Sarcoidosis
The snippet discusses the lung and nodal findings in sarcoidosis and staging
Case 68: Looking at the Lungs Carefully When There is Lymphadenopathy
A good luck at the lungs allows us to better triage lymphadenopathy
Lecture: Imaging of Sarcoidosis
CT scan appearance of sarcoidosis across all the stages

Previous Posts:

ILD Patterns - The UIP Pattern
The UIP pattern, characterized by reticular opacities, subpleural basal predominance and traction bronchiectasis with or without honeycombing is the classic fibrosing ILD pattern. Primary UIP implies IPF, while secondary UIP implies other etiologies
Sarcoidosis

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