대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Chief Complaint

Chest PA abnormality

Definitive Diagnosis

Sarcoidosis

Reviewy

Systemic chronic granulomatous disease characterized by noncaseating granulomas in multiple organs
Less than 40 years old, incidence peaks in the 3rd decade of life
F > M

Imaging features
Bilateral and symmetric mediastinal lymphadenopathy
Perilymphatic nodules
Nodular or irregular thickening of the peribronchovascular interstitium
Fibrotic change: reticulation, traction bronchiectasis, architectural distortion
Predominant upper- and middle- zone location

Keywords